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JUDE OPOKU-AGYEMAN D.O.
NPI 1619225091
Plastic Surgery in Bala Cynwyd, PA

Active since August 16, 2012PECOS Enrolled
19 MONTGOMERY AVE, BALA CYNWYD, PA 19004(610) 667-1888 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 10, 2021, Oct 12, 2018 (2 updates tracked since 2018).

About Jude Opoku-agyeman D.o. NPPES

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

JUDE OPOKU-AGYEMAN D.O. (NPI 1619225091) is an individual plastic surgery provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (OS019567) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619225091
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameJUDE OPOKU-AGYEMANCredential: D.O.
Location Address19 MONTGOMERY AVEBala Cynwyd, PA 19004-2672
Mailing Address19 Montgomery AveBala Cynwyd, PA 19004-2672 · (610) 667-1888
Phone(610) 667-1888
Sole ProprietorNo
Enumeration DateAugust 16, 2012
Last NPPES UpdateJanuary 10, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
✔ NPI 1619225091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in PA · OS019567
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
19 MONTGOMERY AVE, Bala Cynwyd, PA 19004
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jude Opoku-agyeman D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jude Opoku-agyeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stc Pediatrics LLC
5.4 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST
Philadelphia, PA 19102
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 479 clinicians in this Medicare group
NPI 1437793833 (610) 743-6049

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 2

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

DELAWARE VALLEY AESTHETICS, LLC
Clinic/Center (Medical Specialty)
19 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Montgomery County (610) 667-6441
DR. SHERMAN NELSON LEIS DO
Plastic Surgery
19 MONTGOMERY AVE
BALA CYNWYD, PA 19004
Montgomery County (610) 667-1888

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 Jude Opoku-agyeman's NPI number?

The NPI number for Jude Opoku-agyeman is 1619225091. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Jude Opoku-agyeman located?

Jude Opoku-agyeman practices at 19 Montgomery Ave, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-1888.

What is Jude Opoku-agyeman's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Jude Opoku-agyeman enrolled in Medicare?

Yes. Jude Opoku-agyeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jude Opoku-agyeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jude Opoku-agyeman reassigns Medicare benefits to Stc Pediatrics LLC (Philadelphia, PA). The 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 Jude Opoku-agyeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jude Opoku-agyeman was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.