ABISOYE A ADEBAYO MD
NPI 1942720727
Family Medicine - Geriatric Medicine in Appleton, WI

Active since June 22, 2017PECOS EnrolledAccepts Medicare Assignment
2600 S HERITAGE WOODS DR, APPLETON, WI 54915(920) 225-7875 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 9, 2021, Oct 13, 2021, Aug 26, 2021 and 2 more (5 updates tracked since 2017).

About Abisoye A Adebayo Md NPPES

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

ABISOYE A ADEBAYO MD (NPI 1942720727) is an individual geriatric medicine provider in Appleton, Wisconsin, licensed in Wisconsin (76012) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1942720727
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameABISOYE A ADEBAYOCredential: MD
Location Address2600 S HERITAGE WOODS DRAppleton, WI 54915-1408
Mailing Address2600 S Heritage Woods DrAppleton, WI 54915-1408 · (920) 225-7875 · Fax (920) 993-5003
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 22, 2017
Last NPPES UpdateNovember 9, 20215 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
NPI 1942720727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses Licensed in WI · 76012 Licensed in GA · 12183
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Also ListedFamily MedicineTaxonomy 207Q00000X · License R-10900 (IA), 76012 (WI)
2600 S HERITAGE WOODS DR, Appleton, WI 54915

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

Abisoye A Adebayo 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 ID2860762192
PECOS Enrollment IDI20211020000898
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
138 services80 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
117 services108 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
69 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
39 services34 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
24 services23 patients

Hospital Affiliations CMS Care Compare 3

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims11 services$7.45 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
1 supplier12 claims22 services$2.14 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$11.84 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$9.37 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.

Occupational Therapist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Occupational Therapist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Skilled Nursing Facility
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Family Medicine
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Physical Therapist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Nurse Practitioner
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Nurse Practitioner
2600 S HERITAGE WOODS DR
APPLETON, WI 54915
Speech-Language Pathologist
2600 S HERITAGE WOODS DR
APPLETON, WI 54915

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 Abisoye Adebayo's NPI number?

The NPI number for Abisoye Adebayo is 1942720727. It was assigned to this individual provider in the NPPES registry on June 22, 2017.

Where is Abisoye Adebayo located?

Abisoye Adebayo practices at 2600 S Heritage Woods Dr, Appleton, WI 54915. The listed phone number is (920) 225-7875.

What is Abisoye Adebayo's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Abisoye Adebayo enrolled in Medicare?

Yes. Abisoye Adebayo 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 Abisoye Adebayo accept?

Health plans from CareSource (Common Ground Healthcare) and Network Health list Abisoye Adebayo 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 Abisoye Adebayo affiliated with any hospitals?

According to CMS data, Abisoye Adebayo is affiliated with Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Abisoye Adebayo was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.