1. Home
  2. Directory
  3. California
  4. Stockton
  5. Family Medicine
  6. NPI Profile

OGECHUKWU ETUDO M.D
NPI 1780970079
Family Medicine in Stockton, CA

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
701 E CHANNEL ST, STOCKTON, CA 95202(209) 944-4700 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ogechukwu Etudo M.d NPPES

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

OGECHUKWU ETUDO M.D (NPI 1780970079) is an individual family medicine provider in Stockton, California, licensed in Pennsylvania (MT208867) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1780970079
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameOGECHUKWU ETUDOCredential: M.D
Location Address701 E CHANNEL STStockton, CA 95202-2628
Mailing Address701 E Channel StStockton, CA 95202-2628 · (209) 944-4700
Phone(209) 944-4700
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 24, 2011
Last NPPES UpdateNovember 5, 2021
NPPES CertifiedNovember 5, 2021
✔ NPI 1780970079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MT208867
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.

701 E CHANNEL ST, Stockton, CA 95202
Open in Google Maps ↗

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

Ogechukwu Etudo 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 ID143519231
PECOS Enrollment IDI20181031001072
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 95202 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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

Depression Utilization of the PHQ-9 Tool
The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit
Patients 4MonthsOfEnd: 75% · 95 patients
92%39 patients
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
89%119 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
89%1,093 patients3/55-star benchmark: 100%
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.
95%1,660 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%320 patients1/55-star benchmark: 98%
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.
84%127 patients4/55-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.
93%688 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%62 patients4/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%616 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 94% · 510 patients
Patients tobacco: 88% · 42 patients
91%510 patients4/55-star benchmark: 98%
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…
60%688 patients3/55-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…
14%688 patients1/55-star benchmark: 79%
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

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
5 suppliers13 claims40 services$5.21 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.

COMMUNITY MEDICAL CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
DR. JUSSEIN RIGOR MANGONDATO M.D.
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
MR. RANDAL J. PINNELLI P.A.
Physician Assistant
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 954-7704
DR. AURORA DE GUZMAN M.D.
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
KRISTINE C MAKI N.P.
Nurse Practitioner
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
DR. BENJAMIN BARTLETT MORRISON M. D.
Family Medicine
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
JAMES T. PARKER M.D.
Family Medicine
701 E CHANNEL ST, CHANNEL MEDICAL CENTER
STOCKTON, CA 95202
San Joaquin County (209) 944-4700
DR. ANA RUTH REVILLA M.D.
Pediatrics
701 E CHANNEL ST
STOCKTON, CA 95202
San Joaquin County (209) 944-4700

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 Ogechukwu Etudo's NPI number?

The NPI number for Ogechukwu Etudo is 1780970079. It was assigned to this individual provider in the NPPES registry on June 24, 2011.

Where is Ogechukwu Etudo located?

Ogechukwu Etudo practices at 701 E Channel St, Stockton, CA 95202. The listed phone number is (209) 944-4700.

What is Ogechukwu Etudo's specialty?

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

Is Ogechukwu Etudo enrolled in Medicare?

Yes. Ogechukwu Etudo 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 Ogechukwu Etudo was last updated on November 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.