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DR. ONYINYE BALOGUN M.D.
NPI 1962728949
Radiology - Radiation Oncology in New York, NY

Active since April 15, 2010PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
525 E 68TH ST, SUITE N-046, NEW YORK, NY 10065(212) 746-3600(212) 746-8749 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 7, 2023, Jan 21, 2016 (2 updates tracked since 2016).

About Dr. Onyinye Balogun M.d. NPPES

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

DR. ONYINYE BALOGUN M.D. (NPI 1962728949) is an individual radiation oncology provider in New York, New York, licensed in New York (281381) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Yale University School Of Medicine (2010).

NPPES Registry Identity

NPI1962728949
Entity TypeIndividualFemale
Primary Taxonomy2085R0001X
Provider Legal NameDR. ONYINYE BALOGUNCredential: M.D.
Location Address525 E 68TH ST, SUITE N-046New York, NY 10065-4870
Mailing Address525 E 68th St, Box 169New York, NY 10065-4870 · (212) 746-6050 · Fax (212) 746-8749
Phone(212) 746-3600
Fax(212) 746-8749
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2010
Enumeration DateApril 15, 2010
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1962728949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in NY · 281381
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
525 E 68TH ST, New York, NY 10065
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Other Names 1

Former Name (1)Dr. Onyinye Offor M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Onyinye Balogun M.d. 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 ID3274837109
PECOS Enrollment IDI20160212000728
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 Reassignments

3

Medicare enrollment records show Onyinye Balogun reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Weill Medical College Of Cornell
Same address
Radiation Oncology
525 E 68TH ST, N046
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1922148576 (212) 746-3606
Kings Physician Services, PC
6.8 mi
Diagnostic Radiology
506 6TH STREET
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 1,029 clinicians in this Medicare group
NPI 1083045090 (718) 780-5051
Nuvance Health Medical Practice PC
64 mi
Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, New York enrollment
  • 638 clinicians in this Medicare group
NPI 1437358033 (845) 475-9661

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

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
50 services39 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
32 services11 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

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.

DR. AKILI HINSON M.D.
Surgery
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
ABBY AVGERINOS
Nurse Practitioner (Adult Health)
525 E 68TH ST
NEW YORK, NY 10065
New York County (610) 742-3894
DR. PAMELA JOAN-YIN TIEU M.D.
Hospitalist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-5454
JENNIFER ANNE SOO HOO MD
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-1500
WEILL MEDICAL COLLEGE OF CORNELL
Specialist
525 E 68TH ST
NEW YORK, NY 10065
New York County (212) 746-2846
MS. RACHAEL HALEY BLAIRE PA-C
Physician Assistant
525 E 68TH ST
NEW YORK, NY 10065
New York County (480) 221-9894
DR. NISHA MEHTA-NAIK M.D.
Psychiatry & Neurology (Psychiatry)
525 E 68TH ST, MAIL SLOT 140
NEW YORK, NY 10065
New York County (212) 746-3720
POOJA SHAH SALVI
Student in an Organized Health Care Education/Training Program
525 E 68TH ST
NEW YORK, NY 10065
New York County (646) 962-8413

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 Onyinye Balogun's NPI number?

The NPI number for Onyinye Balogun is 1962728949. It was assigned to this individual provider in the NPPES registry on April 15, 2010. The provider is also known as Dr. Onyinye Offor M.D..

Where is Onyinye Balogun located?

Onyinye Balogun practices at 525 E 68th St Suite N-046, New York, NY 10065. The listed phone number is (212) 746-3600.

What is Onyinye Balogun's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Onyinye Balogun enrolled in Medicare?

Yes. Onyinye Balogun 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.

Which organizations bill Medicare for Onyinye Balogun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Onyinye Balogun reassigns Medicare benefits to 3 organizations: Weill Medical College Of Cornell (New York, NY), Kings Physician Services, PC (Brooklyn, NY) and Nuvance Health Medical Practice PC (Poughkeepsie, NY). Each 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 Onyinye Balogun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Onyinye Balogun affiliated with any hospitals?

According to CMS data, Onyinye Balogun is affiliated with Vassar Brothers Medical Center, Northern Dutchess Hospital, Healthalliance Hospital Marys Avenue Campus and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Onyinye Balogun was last updated on December 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.