DR. OLUSOLA OLASUPO ADEGOKE MD MPH
NPI 1619311586
Family Medicine in Apple Valley, MN

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment
15290 PENNOCK LN, APPLE VALLEY, MN 55124(952) 853-8800(952) 431-6966 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 8, 2021, Aug 19, 2020, Dec 3, 2018 and 3 more (6 updates tracked since 2016).

About Dr. Olusola Olasupo Adegoke Md Mph NPPES

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

DR. OLUSOLA OLASUPO ADEGOKE MD MPH (NPI 1619311586) is an individual family medicine provider in Apple Valley, Minnesota, licensed in Minnesota (59639) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains a secondary practice location in New Richmond.

NPPES Registry Identity

NPI1619311586
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. OLUSOLA OLASUPO ADEGOKECredential: MD MPH
Location Address15290 PENNOCK LNApple Valley, MN 55124-7163
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Fax(952) 431-6966
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 23, 2013
Last NPPES UpdateMarch 8, 20216 updates tracked since enumeration
NPPES CertifiedMarch 8, 2021
NPI 1619311586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MN · 59639 Licensed in WI · 65487
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15290 PENNOCK LN, Apple Valley, MN 55124

Secondary Practice Location 1

Location 1535 Hospital RdNew Richmond, WI 54017 · Phone (715) 243-3400 · Fax (715) 246-8980

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

Dr. Olusola Olasupo Adegoke Md Mph 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 ID547578932
PECOS Enrollment IDI20151005002194, I20160728002643
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 4

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 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.
203 services83 patients
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.
114 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
69 services69 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.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Westfields Hospital And Clinic

Critical Access Hospitals · New Richmond, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521345
Location535 Hospital RdNew Richmond, WI 54017 · St. Croix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers23 claims84 services$5.85 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$86.28 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$30.92 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 20

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

Emergency Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Nurse Practitioner
15290 PENNOCK LN, MAIL STOP 32200A
APPLE VALLEY, MN 55124
Pediatrics
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Family Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124
Emergency Medicine
15290 PENNOCK LN
APPLE VALLEY, MN 55124

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 Olusola Adegoke's NPI number?

The NPI number for Olusola Adegoke is 1619311586. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Olusola Adegoke located?

Olusola Adegoke practices at 15290 Pennock Ln, Apple Valley, MN 55124. The listed phone number is (952) 853-8800.

What is Olusola Adegoke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Olusola Adegoke enrolled in Medicare?

Yes. Olusola Adegoke 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.

What insurance does Olusola Adegoke accept?

Health plans from Anthem Blue Cross and Blue Shield and Medica list Olusola Adegoke 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.

Is Olusola Adegoke affiliated with any hospitals?

According to CMS data, Olusola Adegoke is affiliated with Lakeview Memorial Hospital, Regions Hospital and Westfields Hospital And Clinic.

When was this NPI record last updated?

The NPPES record for Olusola Adegoke was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.