OLUMAYOMIDE COKER DMD
NPI 1851961577
Dentist - General Practice in Carbondale, IL

Active since June 25, 2021PECOS Enrolled
402 S LEWIS LN, CARBONDALE, IL 62901(618) 519-9200(618) 519-9375 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Olumayomide Coker Dmd NPPES

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

OLUMAYOMIDE COKER DMD (NPI 1851961577) is an individual general practice provider in Carbondale, Illinois, licensed in Illinois (019.033190) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois Univ School Of Dental Medicine (2021).

NPPES Registry Identity

NPI1851961577
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameOLUMAYOMIDE COKERCredential: DMD
Location Address402 S LEWIS LNCarbondale, IL 62901-3547
Mailing Address109 California St, Po Box 577Carterville, IL 62918-0577 · (618) 519-9200 · Fax (618) 985-4635
Fax(618) 519-9375
Sole ProprietorNo
Medical School CMSSouthern Illinois Univ School Of Dental MedicineGraduated 2021
Enumeration DateJune 25, 2021
NPPES CertifiedJune 25, 2021
NPI 1851961577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.033190
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
402 S LEWIS LN, Carbondale, IL 62901

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Olumayomide Coker Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8921400672
PECOS Enrollment IDI20260309000718
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 62901 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 7

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

Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Dental Hygienist
402 S LEWIS LN
CARBONDALE, IL 62901
Dentist (General Practice)
402 S LEWIS LN
CARBONDALE, IL 62901
Dental Hygienist
402 S LEWIS LN
CARBONDALE, IL 62901
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901

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 Olumayomide Coker's NPI number?

The NPI number for Olumayomide Coker is 1851961577. It was assigned to this individual provider in the NPPES registry on June 25, 2021.

Where is Olumayomide Coker located?

Olumayomide Coker practices at 402 S Lewis Ln, Carbondale, IL 62901. The listed phone number is (618) 519-9200.

What is Olumayomide Coker's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Olumayomide Coker enrolled in Medicare?

Yes. Olumayomide Coker is registered in the Medicare PECOS enrollment system.

What insurance does Olumayomide Coker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 7 other insurers list Olumayomide Coker as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olumayomide Coker was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.