ETAGBO OQUA ETA M.D
NPI 1487974630
Internal Medicine - Nephrology in Gadsden, AL

Q: What is Etagbo Eta's NPI number?

The NPI number for Etagbo Eta is 1487974630. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Q: What is Etagbo Eta's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Etagbo Eta was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 09, 2010PECOS Enrolled

87.47/100

CMS Quality Rating

311 S 4TH ST, GADSDEN, AL 35901(256) 543-0989 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 5, 2023, Feb 15, 2020, Dec 31, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Etagbo Oqua Eta M.d NPPES

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

ETAGBO OQUA ETA M.D (NPI 1487974630) is an individual nephrology provider in Gadsden, Alabama, licensed in Alabama (MD.35051) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1487974630

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameETAGBO OQUA ETACredential: M.D

Location Address311 S 4TH STGadsden, AL 35901-5212

Mailing AddressPo Box 7190Rainbow City, AL 35906-7190 · (256) 203-4713

Phone(256) 543-0989

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 9, 2010

Last NPPES UpdateJanuary 5, 20235 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2023

✔ NPI 1487974630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in AL · MD.35051

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD.35051 (AL)

311 S 4TH ST, Gadsden, AL 35901

Open in Google Maps ↗

Secondary Practice Locations 2

Location 14802 10th AveBrooklyn, NY 11219-2916 · Phone (718) 283-6000

Location 2810 Saint Vincents DrBirmingham, AL 35205-1601 · Phone (205) 930-2456 · Fax (205) 930-2469

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Etagbo Oqua Eta M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931343241

PECOS Enrollment IDI20170308001133

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.

Medicare Billing Reassignments

Medicare enrollment records show Etagbo Eta reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Etagbo Eta M.D., P.C.

Same address

Nephrology

311 S 4TH ST
Gadsden, AL 35901

Reassigned Medicare billing, Alabama enrollment
Medicare enrollment name: Etagbo Eta MD PC
5 clinicians in this Medicare group

NPI 1942849716 (256) 203-4713

Alpha Hospitalist Services

0.3 mi

Hospitalist

410 BROAD ST
Gadsden, AL 35901

Reassigned Medicare billing, Alabama enrollment
22 clinicians in this Medicare group

NPI 1376872127 (256) 438-5107

Vincentian Physician Services LLC

57 mi

Family Medicine

810 SAINT VINCENT'S DRIVE, 3RD FLOOR; PHYSICIAN DEVELOPMENT DEPT
Birmingham, AL 35205

Reassigned Medicare billing, Alabama enrollment
263 clinicians in this Medicare group

NPI 1851698310 (205) 930-2346

Hospital Medicine Associates LLC

382 mi

Hospitalist

17000 MEDICAL CENTER DR
Baton Rouge, LA 70816

Reassigned Medicare billing, Alabama enrollment
229 clinicians in this Medicare group

NPI 1093758781 (225) 752-2470

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 16

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.

874 services197 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

498 services221 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.

405 services135 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.

197 services161 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

136 services73 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

132 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

79 services35 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

51 services17 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.

47 services42 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

46 services39 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

37 services25 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

34 services30 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

31 services31 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

30 services30 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

14 services11 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35901 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

$122.31 typical visit price

range $52.65 – $161.63

Typical copayment $30.57 (range $13.16 – $40.40)

Most-billed visit code 99204

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

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.

87.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

74.95

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%43 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

OLUWOLE SUNDAY AKISANYA M.D.

Internal Medicine

311 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 543-9955

GADSDEN PULMONARY & SLEEP CLINIC, PC

Internal Medicine (Pulmonary Disease)

311 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 547-4443

JENNIFER PATTERSON CRNP

Nurse Practitioner (Adult Health)

311 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 456-0025

ETAGBO ETA M.D., P.C.

Internal Medicine (Nephrology)

311 S 4TH ST
GADSDEN, AL 35901

Etowah County (256) 203-4713

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 Etagbo Eta's NPI number?

The NPI number for Etagbo Eta is 1487974630. It was assigned to this individual provider in the NPPES registry on June 9, 2010.

Where is Etagbo Eta located?

Etagbo Eta practices at 311 S 4th St, Gadsden, AL 35901. The listed phone number is (256) 543-0989.

What is Etagbo Eta's specialty?

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

Is Etagbo Eta enrolled in Medicare?

Yes. Etagbo Eta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Etagbo Eta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Etagbo Eta reassigns Medicare benefits to 4 organizations: Etagbo Eta M.D., P.C. (Gadsden, AL), Alpha Hospitalist Services (Gadsden, AL), Vincentian Physician Services LLC (Birmingham, AL) and Hospital Medicine Associates LLC (Baton Rouge, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Etagbo Eta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Etagbo Eta accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 1 other insurer list Etagbo Eta 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.

When was this NPI record last updated?

The NPPES record for Etagbo Eta was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.