MODUPE FADOJUTIMI NURSE PRACTITIONER
NPI 1952860660
Nurse Practitioner - Primary Care in La Plata, MD

Active since March 13, 2019PECOS EnrolledAccepts Medicare Assignment
21.87/100
CMS Quality Rating
1 MAGNOLIA DR, LA PLATA, MD 20646(301) 934-4001 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Modupe Fadojutimi Nurse Practitioner NPPES

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

MODUPE FADOJUTIMI NURSE PRACTITIONER (NPI 1952860660) is an individual primary care provider in La Plata, Maryland, licensed in Maryland (R194540) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952860660
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMODUPE FADOJUTIMICredential: NURSE PRACTITIONER
Location Address1 MAGNOLIA DRLa Plata, MD 20646-9357
Mailing Address1 Magnolia DrLa Plata, MD 20646-9357 · (301) 934-4001
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 13, 2019
NPI 1952860660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MD · R194540
1 MAGNOLIA DR, La Plata, MD 20646

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

Modupe Fadojutimi Nurse Practitioner 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 ID3173942174
PECOS Enrollment IDI20200924000965, I20220119000823, I20250408000980
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 3

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 high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
49 services49 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
30 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20646 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

21.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Promoting Interoperability0
Improvement Activities0
Cost72.91

Other Providers at the Same Location NPPES 16

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

Skilled Nursing Facility
1 MAGNOLIA DR
LA PLATA, MD 20646
Occupational Therapy Assistant
1 MAGNOLIA DR
LA PLATA, MD 20646
Occupational Therapist
1 MAGNOLIA DR
LA PLATA, MD 20646
Occupational Therapist
1 MAGNOLIA DR
LA PLATA, MD 20646
Physical Therapist
1 MAGNOLIA DR
LA PLATA, MD 20646
Physical Medicine & Rehabilitation (Pain Medicine)
1 MAGNOLIA DR
LA PLATA, MD 20646
Skilled Nursing Facility
1 MAGNOLIA DR
LA PLATA, MD 20646
Physical Therapist
1 MAGNOLIA DR
LA PLATA, MD 20646

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 Modupe Fadojutimi's NPI number?

The NPI number for Modupe Fadojutimi is 1952860660. It was assigned to this individual provider in the NPPES registry on March 13, 2019.

Where is Modupe Fadojutimi located?

Modupe Fadojutimi practices at 1 Magnolia Dr, La Plata, MD 20646. The listed phone number is (301) 934-4001.

What is Modupe Fadojutimi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Modupe Fadojutimi enrolled in Medicare?

Yes. Modupe Fadojutimi 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 Modupe Fadojutimi was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.