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MR. SAMSON OLUWAFEMI ILORI DNP, FNP-BC, NP-C
NPI 1770921652
Nurse Practitioner - Family in San Diego, CA

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment
71.92/100
CMS Quality Rating
4849 RONSON CT, #217, SAN DIEGO, CA 92111(858) 279-1212(858) 279-1420 Get Directions Write a Review

NPPES record last updated: November 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 26, 2022, Nov 1, 2019, Dec 13, 2015 (3 updates tracked since 2015).

About Mr. Samson Oluwafemi Ilori Dnp, Fnp-bc, Np-c NPPES

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

MR. SAMSON OLUWAFEMI ILORI DNP, FNP-BC, NP-C (NPI 1770921652) is an individual family provider in San Diego, California, licensed in California (95000581) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770921652
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMSON OLUWAFEMI ILORICredential: DNP, FNP-BC, NP-C
Location Address4849 RONSON CT, #217San Diego, CA 92111-1805
Mailing Address4849 Ronson Ct, #217San Diego, CA 92111-1805 · (858) 279-1212 · Fax (858) 279-1420
Phone(858) 279-1212
Fax(858) 279-1420
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 12, 2013
Last NPPES UpdateNovember 26, 20223 updates tracked since enumeration
NPPES CertifiedNovember 26, 2022
✔ NPI 1770921652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95000581
4849 RONSON CT, San Diego, CA 92111
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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

Mr. Samson Oluwafemi Ilori Dnp, Fnp-bc, Np-c 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 ID9638319049
PECOS Enrollment IDI20140820000582
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 6

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
1,699 services225 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
55 services55 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
37 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
17 services14 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

71.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.72
Improvement Activities40
Cost26.48

Reported Quality Measures

Advance Care Plan
5%330 patients1/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
8%39 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
0%41 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
69%48 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
5%2,286 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%757 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
83%24 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 27% · 303 patients
Patients totalRate: 29% · 328 patients
11%328 patients3/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers36 claims36 services$44.06 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$65.62 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$29.53 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers62 claims62 services$19.34 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier24 claims24 services$25.95 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 6

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

AMERICAN TRUECARE, INC
Case Management
4849 RONSON CT, SUITE 206
SAN DIEGO, CA 92111
San Diego County (619) 602-4557
MR. RUBEN DANIEL GUTIERREZ MA, MFT
Marriage & Family Therapist
4849 RONSON CT
SAN DIEGO, CA 92111
San Diego County (951) 476-4360
MR. BENJAMIN JOSEPH COBOS AMFT
Marriage & Family Therapist
4849 RONSON CT
SAN DIEGO, CA 92111
San Diego County (916) 215-3768
DR. SIKANDER BAINS M.D.
Family Medicine
4849 RONSON CT, STE 217
SAN DIEGO, CA 92111
San Diego County (619) 992-5330
DR. ELAINE BORSETH DC
Chiropractor
4849 RONSON CT, #100
SAN DIEGO, CA 92111
San Diego County (858) 576-8181
BORSETH CHIROPRACTIC
Chiropractor
4849 RONSON CT, #100
SAN DIEGO, CA 92111
San Diego County (858) 576-8181

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 Samson Ilori's NPI number?

The NPI number for Samson Ilori is 1770921652. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Samson Ilori located?

Samson Ilori practices at 4849 Ronson Ct #217, San Diego, CA 92111. The listed phone number is (858) 279-1212.

What is Samson Ilori's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samson Ilori enrolled in Medicare?

Yes. Samson Ilori 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.

When was this NPI record last updated?

The NPPES record for Samson Ilori was last updated on November 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.