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DR. ANTHONY ILUYOMADE MD
NPI 1437554250
Internal Medicine - Nephrology in Toccoa, GA

Active since October 23, 2014PECOS EnrolledAccepts Medicare Assignment
98.31/100
CMS Quality Rating

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 11, 2021, Oct 10, 2019, Oct 1, 2019 and 2 more (5 updates tracked since 2018).

About Dr. Anthony Iluyomade Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTHONY ILUYOMADE MD (NPI 1437554250) is an individual nephrology provider in Toccoa, Georgia, licensed in Georgia (80455) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437554250
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ANTHONY ILUYOMADECredential: MD
Location Address58 BIG A RDToccoa, GA 30577
Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420
Phone(706) 886-3148
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateOctober 23, 2014
Last NPPES UpdateJanuary 11, 20215 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1437554250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in GA · 80455✔ Licensed in CA · A143245
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
58 BIG A RD, Toccoa, GA 30577
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anthony Iluyomade Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022352855
PECOS Enrollment IDI20181205003466
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
573 services210 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
60 services58 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
53 services45 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
41 services41 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
30 services29 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30577 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.88
Improvement Activities40
Cost84.56

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier19 claims19 services$68.33 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers37 claims37 services$18.46 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
4 suppliers35 claims35 services$865.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers45 claims45 services$108.57 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$28.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID L QUINN PA-C
Physician Assistant (Medical)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
MRS. KANDI LAUREN WILLIS PA
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
GEORGIA UROLOGY, PA
Urology
58 BIG A RD
TOCCOA, GA 30577
Stephens County (770) 219-8765
DR. KYLER GATOR HAZELETT PHARMD
Pharmacist (Ambulatory Care)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-3148
MISTY HOLLOWAY BRYANT FNP
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
TRACI COYNE FNP-C
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-3169
MRS. CRYSTAL KERSEY COTRELL PA-C
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 282-4200
TRAVIS WELDON DOBBS FNP
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-6819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anthony Iluyomade's NPI number?

The NPI number for Anthony Iluyomade is 1437554250. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Where is Anthony Iluyomade located?

Anthony Iluyomade practices at 58 Big A Rd, Toccoa, GA 30577. The listed phone number is (706) 886-3148.

What is Anthony Iluyomade's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Anthony Iluyomade enrolled in Medicare?

Yes. Anthony Iluyomade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anthony Iluyomade accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Anthony Iluyomade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anthony Iluyomade affiliated with any hospitals?

According to CMS data, Anthony Iluyomade is affiliated with Northside Hospital Forsyth, Northside Hospital Cherokee and Archbold Memorial.

When was this NPI record last updated?

The NPPES record for Anthony Iluyomade was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.