ADEWALE ADEYINKA ODUKOYA MD
NPI 1902268550
Emergency Medicine in Jackson, TN

Active since March 23, 2016PECOS EnrolledAccepts Medicare Assignment
89.72/100
CMS Quality Rating
294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932(731) 410-0367 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2023, Jul 29, 2020, Apr 15, 2019 and 2 more (5 updates tracked since 2016).

About Adewale Adeyinka Odukoya Md NPPES

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

ADEWALE ADEYINKA ODUKOYA MD (NPI 1902268550) is an individual emergency medicine provider in Jackson, Tennessee, licensed in Texas (S5721) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Logan Memorial Hospital, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2016).

NPPES Registry Identity

NPI1902268550
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameADEWALE ADEYINKA ODUKOYACredential: MD
Location Address294 SUMMAR DRJackson, TN 38301-3915
Mailing Address294 Summar DrJackson, TN 38301-3915 · (731) 423-1932 · Fax (731) 410-0367
Fax(731) 410-0367
Sole ProprietorNo
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2016
Enumeration DateMarch 23, 2016
Last NPPES UpdateJanuary 19, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
NPI 1902268550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in TX · S5721 Licensed in TN · 56635 Licensed in KY · 51712 Licensed in MO · 2020010832
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedFamily MedicineTaxonomy 207Q00000X · License 56635 (TN)
Also ListedInternal MedicineTaxonomy 207R00000X · License 51712 (KY)
Also ListedThoracic Surgery (Cardiothoracic Vascular Surgery)Taxonomy 208G00000X · License S5721 (TX)
294 SUMMAR DR, Jackson, TN 38301

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 and accepts Medicare assignment

Adewale Adeyinka Odukoya Md 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 ID1456643345
PECOS Enrollment IDI20180612001769, I20190117002420, I20210812002541
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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
223 services220 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
82 services78 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
80 services76 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
49 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Logan Memorial Hospital

Acute Care Hospitals · Russellville, KY
OwnershipProprietary
CMS Certification Number180066
Location1625 Nashville StreetRussellville, KY 42276 · Logan County
Emergency services

North Texas Medical Center

Acute Care Hospitals · Gainesville, TX
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450090
Location1900 Hospital BlvdGainesville, TX 76240 · Cooke County
Emergency services Birthing friendly

Christus Mother Frances Hospital Sulphur Springs

Acute Care Hospitals · Sulphur Springs, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450236
Location115 Airport RdSulphur Springs, TX 75482 · Hopkins County
Emergency services Birthing friendly

Navarro Regional Hospital

Acute Care Hospitals · Corsicana, TX
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450447
Location3201 West Highway 22Corsicana, TX 75110 · Navarro County
Emergency services Birthing friendly

Graham Regional Medical Center

Critical Access Hospitals · Graham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number671300
Location1301 Montgomery RoadGraham, TX 76450 · Young County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

89.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.64
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Student in an Organized Health Care Education/Training Program
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301
Family Medicine
294 SUMMAR DR
JACKSON, TN 38301

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 Adewale Odukoya's NPI number?

The NPI number for Adewale Odukoya is 1902268550. It was assigned to this individual provider in the NPPES registry on March 23, 2016.

Where is Adewale Odukoya located?

Adewale Odukoya practices at 294 Summar Dr, Jackson, TN 38301. The listed phone number is (731) 423-1932.

What is Adewale Odukoya's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Adewale Odukoya enrolled in Medicare?

Yes. Adewale Odukoya 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.

What insurance does Adewale Odukoya accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Adewale Odukoya 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.

Is Adewale Odukoya affiliated with any hospitals?

According to CMS data, Adewale Odukoya is affiliated with Logan Memorial Hospital, North Texas Medical Center, Christus Mother Frances Hospital Sulphur Springs, Navarro Regional Hospital and Graham Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Adewale Odukoya was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.