DR. OLABODE OLUMOFIN M.D.
NPI 1720025513
Internal Medicine in Pine Bluff, AR

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
1801 W 40TH AVE, SUITE 1C, PINE BLUFF, AR 71603(870) 535-4141(870) 535-9180 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Olabode Olumofin M.d. NPPES

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

DR. OLABODE OLUMOFIN M.D. (NPI 1720025513) is an individual internal medicine provider in Pine Bluff, Arkansas, licensed in Arkansas (E-3124) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1720025513
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. OLABODE OLUMOFINCredential: M.D.
Location Address1801 W 40TH AVE, SUITE 1CPine Bluff, AR 71603-6940
Mailing Address1801 W 40th Ave Ste 1cPine Bluff, AR 71603-6956 · (870) 535-4141 · Fax (870) 535-4141
Fax(870) 535-9180
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 1, 2006
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
NPI 1720025513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in AR · E-3124
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.
Also ListedSurgeryTaxonomy 208600000X · License E3124 (AR)
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1801 W 40TH AVE, Pine Bluff, AR 71603

Other Identifiers 1

Medicaid146619001AR

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. Olabode Olumofin 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 ID9638069727
PECOS Enrollment IDI20040319001493
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 14

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.
352 services55 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.
338 services95 patients
Extended office or other outpatient service by clinical staff, first hour 99415
This service involves a clinical staff member providing extended outpatient care for the first hour. It may include monitoring, administering treatment, or observing the patient's condition. This is done in an office setting, ensuring patient comfort.
100 services62 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.
93 services40 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
75 services63 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
62 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71603 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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 17

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
4 suppliers20 claims68 services$5.68 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers15 claims15 services$2.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers18 claims31 services$0.99 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers28 claims56 services$1.60 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers17 claims22 services$45.66 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers69 claims74 services$17.16 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.

Anesthesiology
1801 W 40TH AVE, SUITE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Family Medicine
1801 W 40TH AVE, SUITE 5C
PINE BLUFF, AR 71603
Anesthesiology
1801 W 40TH AVE, STE 2B
PINE BLUFF, AR 71603
Nurse Anesthetist, Certified Registered
1801 W 40TH AVE, SUITE 2B
PINE BLUFF, AR 71603
Specialist
1801 W 40TH AVE, SUITE 2C
PINE BLUFF, AR 71603
Radiology (Diagnostic Radiology)
1801 W 40TH AVE, SUITE 2C
PINE BLUFF, AR 71603
Physical Medicine & Rehabilitation
1801 W 40TH AVE, SUITE 5B
PINE BLUFF, AR 71603

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 Olabode Olumofin's NPI number?

The NPI number for Olabode Olumofin is 1720025513. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Olabode Olumofin located?

Olabode Olumofin practices at 1801 W 40th Ave Suite 1C, Pine Bluff, AR 71603. The listed phone number is (870) 535-4141.

What is Olabode Olumofin's specialty?

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

Is Olabode Olumofin enrolled in Medicare?

Yes. Olabode Olumofin 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 Olabode Olumofin accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Olabode Olumofin 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 Olabode Olumofin was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.