OLUYOMI O OLUSANYA MD
NPI 1457302937
Internal Medicine in Rolla, MO

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
78.73/100
CMS Quality Rating
1060 S BISHOP AVE, ROLLA, MO 65401(573) 426-5900(573) 426-4466 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Oluyomi O Olusanya Md NPPES

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

OLUYOMI O OLUSANYA MD (NPI 1457302937) is an individual internal medicine provider in Rolla, Missouri, licensed in Missouri (2002009086) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Phelps County Regional Medical Center, and is a graduate of Boston University School Of Medicine (1999).

NPPES Registry Identity

NPI1457302937
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOLUYOMI O OLUSANYACredential: MD
Location Address1060 S BISHOP AVERolla, MO 65401-4465
Mailing AddressPo Box 932051Kansas City, MO 64193-0001 · (314) 989-0300
Fax(573) 426-4466
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1999
Enumeration DateMay 12, 2006
Last NPPES UpdateApril 24, 2013
NPI 1457302937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MO · 2002009086
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1060 S BISHOP AVE, Rolla, MO 65401

Other Identifiers 7

Medicare PIN132130014MO
Medicare PIN001015168MO
Medicare UPINH64516MO
Medicare PIN001015401MO
Medicare PIN001014967MO
Medicaid208747204MO
Medicare PIN046013213MO

Accepted 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

Oluyomi O Olusanya 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 ID7315996394
PECOS Enrollment IDI20050117000467
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit for life threatening or functioning severity 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
270 services251 patients
Emergency department visit for problem of high severity 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
166 services160 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
60 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services56 patients
Emergency department visit for problem of mild to moderate severity 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
23 services23 patients
Emergency department visit for problem of moderate severity 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Phelps County Regional Medical Center

Acute Care Hospitals · Rolla, MO
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number260017
Location1000 W 10th StRolla, MO 65401 · Phelps County
Emergency services Birthing friendly

Missouri Baptist Sullivan Hospital

Critical Access Hospitals · Sullivan, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number261337
Location751 Sappington Bridge RdSullivan, MO 63080 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65401 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

78.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.21
Promoting Interoperability100
Improvement Activities40
Cost51.37

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$180.36 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 5

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

Chiropractor
1060 S BISHOP AVE, B
ROLLA, MO 65401
Nurse Practitioner (Family)
1060 S BISHOP AVE
ROLLA, MO 65401
Clinic/Center (Rural Health)
1060 S BISHOP AVE
ROLLA, MO 65401
Internal Medicine
1060 S BISHOP AVE
ROLLA, MO 65401
Clinic/Center (Federally Qualified Health Center (FQHC))
1060 S BISHOP AVE
ROLLA, MO 65401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457302937, enumerated as an "individual" on May 12, 2006.

The provider is located at 1060 S BISHOP AVE ROLLA, MO 65401 and the phone number is (573) 426-5900.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.

Oluyomi Olusanya is affiliated with: PHELPS COUNTY REGIONAL MEDICAL CENTER and MISSOURI BAPTIST SULLIVAN HOSPITAL.