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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: October 18, 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
Phone(618) 519-9200
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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Best Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Olumayomide Coker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Promise Healthcare Nfp
172 mi
Federally Qualified Health Center (FQHC)
919 W KIRBY AVE
Champaign, IL 61821
  • Reassigned Medicare billing, Illinois enrollment
  • 48 clinicians in this Medicare group
NPI 1629828439 (217) 356-5477

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

AUDREY FIELDS DDS
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
GINA FERRARO RDH
Dental Hygienist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
ANGELICA FERNANDO DMD
Dentist (General Practice)
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
MARIESSA LORAE ORSO RDH
Dental Hygienist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
SAHITYA CHIRAMANA DMD
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
DR. ARJUN GAUBA
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200
DR. SCOTT MICHAEL BIETSCH D.M.D.
Dentist
402 S LEWIS LN
CARBONDALE, IL 62901
Jackson County (618) 519-9200

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.

Which organization bills Medicare for Olumayomide Coker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olumayomide Coker reassigns Medicare benefits to Promise Healthcare Nfp (Champaign, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Olumayomide Coker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Olumayomide Coker accept?

Health plans from Anthem Blue Cross and Blue Shield, Best Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 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.