ADRIAN EKOMOBASI BIFOM MD
NPI 1740912914
Family Medicine in Springfield, IL

Q: What is Adrian Bifom's NPI number?

The NPI number for Adrian Bifom is 1740912914. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Q: What is Adrian Bifom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Adrian Bifom was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 27, 2022PECOS EnrolledAccepts Medicare Assignment

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-8161 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Adrian Ekomobasi Bifom Md NPPES

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

ADRIAN EKOMOBASI BIFOM MD (NPI 1740912914) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (036173019) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740912914

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameADRIAN EKOMOBASI BIFOMCredential: MD

Location Address520 N 4TH STSpringfield, IL 62702-5238

Mailing AddressPo Box 19670Springfield, IL 62794-9670 · (217) 545-8000 · Fax (217) 757-8161

Phone(217) 545-8000

Fax(217) 757-8161

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJune 27, 2022

Last NPPES UpdateJune 10, 2025

NPPES CertifiedJune 10, 2025

✔ NPI 1740912914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in IL · 036173019✔ Licensed in IL · 125079997

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.

520 N 4TH ST, Springfield, IL 62702

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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

Adrian Ekomobasi Bifom Md 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 ID8820479215

PECOS Enrollment IDI20250701001529

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.

Hospital Affiliations CMS Care Compare 4

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

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number140089

Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141305

Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County

Emergency services

Illini Community Hospital

Critical Access Hospitals · Pittsfield, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141315

Location640 W WashingtonPittsfield, IL 62363 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

MRS. AMANDA B HENSON LCSW

Social Worker (Clinical)