USIAKIMI IGBASEIMOKUMO MBBS, FRCS(C), MD
NPI 1750465654
Neurological Surgery in Lubbock, TX

Active since October 25, 2006PECOS Enrolled
4102 24TH ST STE 504, LUBBOCK, TX 79410(806) 743-7700(806) 743-7703 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2021, Oct 23, 2018 (2 updates tracked since 2018).

About Usiakimi Igbaseimokumo Mbbs, Frcs(c), Md NPPES

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

USIAKIMI IGBASEIMOKUMO MBBS, FRCS(C), MD (NPI 1750465654) is an individual neurological surgery provider in Lubbock, Texas, licensed in Texas (FTL41604) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kansas City.

NPPES Registry Identity

NPI1750465654
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameUSIAKIMI IGBASEIMOKUMOCredential: MBBS, FRCS(C), MD
Location Address4102 24TH ST STE 504Lubbock, TX 79410
Mailing AddressPo Box 5865Lubbock, TX 79408-5865 · (806) 743-2898 · Fax (806) 743-2787
Fax(806) 743-7703
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPPES CertifiedDecember 3, 2021
NPI 1750465654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in TX · FTL41604
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4102 24TH ST STE 504, Lubbock, TX 79410

Secondary Practice Location 1

Location 12401 Gillham RdKansas City, MO 64108-4619 · Phone (816) 234-3581

Other Identifiers 2

Medicaid205463300MO
Other782343MO · Healthlink

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Usiakimi Igbaseimokumo Mbbs, Frcs(c), 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79410 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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 5

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

Neurological Surgery
4102 24TH ST STE 504
LUBBOCK, TX 79410
Nurse Practitioner (Pediatrics)
4102 24TH ST STE 504
LUBBOCK, TX 79410
Neurological Surgery
4102 24TH ST STE 504
LUBBOCK, TX 79410
Nurse Practitioner (Pediatrics)
4102 24TH ST STE 504
LUBBOCK, TX 79410
Nurse Practitioner (Pediatrics)
4102 24TH ST STE 504
LUBBOCK, TX 79410

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 Usiakimi Igbaseimokumo's NPI number?

The NPI number for Usiakimi Igbaseimokumo is 1750465654. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Usiakimi Igbaseimokumo located?

Usiakimi Igbaseimokumo practices at 4102 24th St Ste 504, Lubbock, TX 79410. The listed phone number is (806) 743-7700.

What is Usiakimi Igbaseimokumo's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Usiakimi Igbaseimokumo enrolled in Medicare?

Yes. Usiakimi Igbaseimokumo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Usiakimi Igbaseimokumo was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.