DR. MOSES F OLORUNNISOLA JR. M.D.
NPI 1467728113
Pediatrics in Manahawkin, NJ

NPI Status: Active since March 27, 2012

Contact Information

1140 ROUTE 72 W
MANAHAWKIN, NJ
ZIP 08050
Phone: (609) 597-6405

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  • Individual
  • Male
  • Pediatrics
  • PECOS Enrolled
  • Medicare Quality Reporting

About MOSES OLORUNNISOLA

This page provides the complete NPI Profile along with additional information for Moses Olorunnisola, a pediatrician established in Manahawkin, New Jersey with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1467728113 assigned on March 2012. The practitioner's primary taxonomy code is 208000000X with license number 25MA09681500 (NJ). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1467728113
Provider Name
DR. MOSES F OLORUNNISOLA JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
1140 ROUTE 72 W MANAHAWKIN, NJ 08050
Location Phone
(609) 597-6405
Mailing Address
1140 ROUTE 72 W MANAHAWKIN, NJ 08050
Is Sole Proprietor?
No
Enumeration Date
03-27-2012
Last Update Date
11-30-2015
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A pediatrician like Moses Olorunnisola is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
License No.
25MA09681500
License State
NJ
Taxonomy Description
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Medicare Participation & PECOS Enrollment Status

Moses Olorunnisola is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 08050 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $94.9
  • Minimum New Patient Price $61.59
  • Maximum New Patient Price $185.05
  • Average New Patient Copayment $23.72
  • Minimum New Patient Copayment $15.39
  • Maximum New Patient Copayment $46.26

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $107.94
  • Minimum Established Patient Price $20.08
  • Maximum Established Patient Price $150.98
  • Average Established Patient Copayment $26.98
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $37.74

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Implementation of an ASPYesN/A
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance
Implementation of formal quality improvement methods, practice changes, or other practice improvement processesYesN/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Measurement and Improvement at the Practice and Panel LevelYesN/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.YesN/A
Participation in an AHRQ-listed patient safety organization.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1467728113, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
2
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
1
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 7 → 14 → 5 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 2 + 7 + 1 + 4 + 2 + 1 + 6 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1467728113.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Specialist
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Specialist
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Skilled Nursing Facility
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Nurse Practitioner
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Registered Nurse (Registered Nurse First Assistant)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Nurse Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Registered Nurse
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Registered Nurse
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Anesthesiology
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Specialist
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Registered Nurse (Emergency)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Physician Assistant
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467728113, enumerated as an "individual" on March 27, 2012.

The provider is located at 1140 ROUTE 72 W MANAHAWKIN, NJ 08050 and the phone number is (609) 597-6405.

Pediatrics with taxonomy code 208000000X.