DR. ANTHONY SUNDAY OTEKEIWEBIA M.D
NPI 1689940165
Internal Medicine in Lexington, KY

Active since March 28, 2012PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, LEXINGTON, KY 40536(832) 552-3393 Get Directions Write a Review

NPPES record last updated: July 3, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony Sunday Otekeiwebia M.d NPPES

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

DR. ANTHONY SUNDAY OTEKEIWEBIA M.D (NPI 1689940165) is an individual internal medicine provider in Lexington, Kentucky, licensed in Kentucky (47973) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Tallahassee Memorial Healthcare, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1689940165
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANTHONY SUNDAY OTEKEIWEBIACredential: M.D
Location AddressUNIVERSITY OF KENTUCKY, 800 ROSE STREETLexington, KY 40536-2987
Mailing Address740 S Limestone Rm L543Lexington, KY 40536-0293
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 28, 2012
Last NPPES UpdateJuly 3, 2015
NPI 1689940165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 47973
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
UNIVERSITY OF KENTUCKY, Lexington, KY 40536

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. Anthony Sunday Otekeiwebia M.d 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 ID8628384179
PECOS Enrollment IDI20180824000747, I20240321000740
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 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 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.
343 services156 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
294 services144 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.
146 services105 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.
92 services92 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.
41 services32 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.
36 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Tallahassee Memorial Healthcare

Acute Care Hospitals · Tallahassee, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100135
Location1300 Miccosukee RdTallahassee, FL 32308 · Leon County
Emergency services Birthing friendly

Archbold Memorial

Acute Care Hospitals · Thomasville, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110038
Location915 Gordon Avenue & Mimosa DriveThomasville, GA 31792 · Thomas County
Emergency services Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 19

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

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
9 suppliers46 claims46 services$94.83 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers42 claims117 services$36.42 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers15 claims81 services$18.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers41 claims232 services$15.34 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers61 claims61 services$57.84 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
9 suppliers57 claims57 services$17.88 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Preventive Medicine (Public Health & General Preventive Medicine)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536
Internal Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE STREET
LEXINGTON, KY 40536
Emergency Medicine
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Radiology (Diagnostic Radiology)
UNIVERSITY OF KENTUCKY, 800 ROSE STREET, HX-311
LEXINGTON, KY 40536
Orthopaedic Surgery
UNIVERSITY OF KENTUCKY, 800 ROSE ST.
LEXINGTON, KY 40536
Psychiatry & Neurology (Psychiatry)
UNIVERSITY OF KENTUCKY, 800 ROSE ST
LEXINGTON, KY 40536

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 Anthony Otekeiwebia's NPI number?

The NPI number for Anthony Otekeiwebia is 1689940165. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Anthony Otekeiwebia located?

Anthony Otekeiwebia practices at University Of Kentucky 800 Rose Street, Lexington, KY 40536. The listed phone number is (832) 552-3393.

What is Anthony Otekeiwebia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anthony Otekeiwebia enrolled in Medicare?

Yes. Anthony Otekeiwebia 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 Anthony Otekeiwebia accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Anthony Otekeiwebia 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 Anthony Otekeiwebia affiliated with any hospitals?

According to CMS data, Anthony Otekeiwebia is affiliated with Tallahassee Memorial Healthcare, Archbold Memorial and Memorial Hospital And Manor.

When was this NPI record last updated?

The NPPES record for Anthony Otekeiwebia was last updated on July 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.