DR. OLUGBENGA ADEDIPE MD
NPI 1720088016
Pediatrics in Fort Drum, NY

Q: What is Olugbenga Adedipe's NPI number?

The NPI number for Olugbenga Adedipe is 1720088016. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Q: What is Olugbenga Adedipe's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Olugbenga Adedipe was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 28, 2005PECOS Enrolled

11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-2778 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Olugbenga Adedipe Md NPPES

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

DR. OLUGBENGA ADEDIPE MD (NPI 1720088016) is an individual pediatrics provider in Fort Drum, New York, licensed in Georgia (49996) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720088016

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. OLUGBENGA ADEDIPECredential: MD

Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603

Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603

Phone(315) 772-2778

Sole ProprietorNo

Enumeration DateJuly 28, 2005

Last NPPES UpdateMay 28, 2026

NPPES CertifiedMay 28, 2026

✔ NPI 1720088016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in GA · 49996

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

11050 MT BELVEDERE BLVD, Fort Drum, NY 13602

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Other Identifiers 1

Medicaid02635095MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Olugbenga Adedipe Md 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 Reassignments

Medicare enrollment records show Olugbenga Adedipe reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Houlton Regional Hospital

415 mi

Critical Access

20 HARTFORD ST
Houlton, ME 04730

Reassigned Medicare billing, Maine enrollment
169 clinicians in this Medicare group

NPI 1386804268 (207) 532-2900

Chickasaw Nation Division Of Health

1,282 mi

General Acute Care Hospital

1921 STONECIPHER BLVD
Ada, OK 74820

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
324 clinicians in this Medicare group

NPI 1255364923 (580) 421-4570

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 13602 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

53%53 patients3/55-star benchmark: 95%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

98%795 patients4/55-star benchmark: 99%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

91%172 patients3/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

47%1,175 patients2/55-star benchmark: 97%

Preventive Care and Screening: Influenza Immunization

Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization

23%643 patients2/55-star benchmark: 88%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%1,175 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

2%1,175 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

4%1,175 patients

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 0% · 727 patients

Patients physicalActivity: 0% · 727 patients

79%727 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MICHAEL HARRIS CARPENTER M.D.

Pediatrics