DR. ADEWALE KABIR ADEGBENRO MD
NPI 1558196550
Obstetrics & Gynecology in Lowville, NY

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
7785 N STATE ST, LOWVILLE, NY 13367(315) 376-9626(315) 376-5444 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 15, 2025, Sep 9, 2024 (2 updates tracked since 2024).

About Dr. Adewale Kabir Adegbenro Md NPPES

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

DR. ADEWALE KABIR ADEGBENRO MD (NPI 1558196550) is an individual obstetrics & gynecology provider in Lowville, New York, licensed in Wisconsin (86144) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Lewis County General Hospital, and maintains a secondary practice location in Weston.

NPPES Registry Identity

NPI1558196550
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ADEWALE KABIR ADEGBENROCredential: MD
Location Address7785 N STATE STLowville, NY 13367-1229
Mailing Address6417 Phantom Moon WalkClarksville, MD 21029-1283 · (804) 624-0360
Fax(315) 376-5444
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 9, 2024
Last NPPES UpdateDecember 15, 20252 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1558196550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in WI · 86144✔ Licensed in NY · 332697
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
7785 N STATE ST, Lowville, NY 13367

Secondary Practice Location 1

Location 13400 Ministry PkwyWeston, WI 54476-5213 · Phone (715) 393-1000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Adewale Kabir Adegbenro 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 ID8628503281
PECOS Enrollment IDI20241120001289
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

7

Medicare enrollment records show Adewale Adegbenro reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
7785 N STATE ST FL 3
Lowville, NY 13367
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Lewis County
  • 50 clinicians in this Medicare group
Family Medicine
180 GATEWAY DR
Waupun, WI 53963
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,447 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2450 VINEYARD DR
Plover, WI 54467
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1952890873 (Wisconsin)
  • 2,476 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1700963048 (Wisconsin)
  • 1,351 clinicians in this Medicare group
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Lewis County General Hospital

Critical Access Hospitals · Lowville, NY
OwnershipGovernment - Local
CMS Certification Number331317
Location7785 North State StreetLowville, NY 13367 · Lewis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13367 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
7785 N STATE ST
LOWVILLE, NY 13367
Anesthesiology
7785 N STATE ST
LOWVILLE, NY 13367
Occupational Therapist
7785 N STATE ST
LOWVILLE, NY 13367
Physician Assistant
7785 N STATE ST
LOWVILLE, NY 13367
Internal Medicine
7785 N STATE ST, SUITE 250
LOWVILLE, NY 13367
Occupational Therapist (Physical Rehabilitation)
7785 N STATE ST
LOWVILLE, NY 13367
Emergency Medicine
7785 N STATE ST
LOWVILLE, NY 13367
Medicare Defined Swing Bed Unit
7785 N STATE ST
LOWVILLE, NY 13367

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 Adewale Adegbenro's NPI number?

The NPI number for Adewale Adegbenro is 1558196550. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Adewale Adegbenro located?

Adewale Adegbenro practices at 7785 N State St, Lowville, NY 13367. The listed phone number is (315) 376-9626.

What is Adewale Adegbenro's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Adewale Adegbenro enrolled in Medicare?

Yes. Adewale Adegbenro 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.

Which organizations bill Medicare for Adewale Adegbenro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adewale Adegbenro reassigns Medicare benefits to 7 organizations: Lewis County General Hospital (Lowville, NY), Beaver Dam Community Hospitals Inc (Waupun, WI), Mchs Hospitals, Inc. (Plover, WI), Marshfield Clinic Inc (Marshfield, WI), Flambeau Hospital Inc (Park Falls, WI) and 2 more organizations, listed in the Medicare section above. 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 Adewale Adegbenro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adewale Adegbenro affiliated with any hospitals?

According to CMS data, Adewale Adegbenro is affiliated with Lewis County General Hospital.

When was this NPI record last updated?

The NPPES record for Adewale Adegbenro was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.