DR. OLADELE ADEPITAN ADEBOGUN (MD. PA.) – Psychiatry Physician, NPI 1104822097
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
244 PSYCHIATRY in AR
Provider Addresses for DR. OLADELE ADEPITAN ADEBOGUN (MD. PA.)
Arkansas Boulevard, Texarkana, Miller County, Arkansas, 71854, United States
TEXARKANA, AR 718542536
Phone: (870) 773-4655
Fax: (870) 772-4650
Type: Mailing
2904 Arkansas Blvd
Texarkana, AR 718542536
Phone: (870) 773-4655
Fax: (870) 772-4650
Type: Location
3140 Legacy Dr Ste 130
Frisco, TX 750347919
Phone: (972) 221-7900
Fax: (972) 221-7901
Type: Location
1701 River Run Ste 1118
Fort Worth, TX 761076557
Phone: (972) 221-7900
Fax: (972) 221-7901
Type: Location
5899 Preston Rd Bldg 9
Frisco, TX 750349586
Phone: (972) 221-7900
Fax: (972) 221-7901
Type: Location
Long Prairie Road, Flower Mound, Tarrant County, Texas, United States
FLOWER MOUND, TX 750224953
Phone: (972) 221-7900
Fax: (972) 221-7900
Type: Location
777 INTERNATIONAL PKWY STE 260
FLOWER MOUND, TX 750225303
Phone: (972) 221-7900
Fax: (972) 221-7901
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 685 Open Payments records for all available years, with a total value of $12,407.
Total Amount is formed as General ($12,407) + Research ($0) + Ownership ($0) = $12,407.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Corium, LLC ($1,341).
Total Amount
$12,407
General + Research + Ownership
Payments
685
Total payment records
General Amount
$12,407
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Corium, LLC | $1,341 |
| Supernus Pharmaceuticals, Inc. | $1,244 |
| Otsuka America Pharmaceutical, Inc. | $1,092 |
| ABBVIE INC. | $1,006 |
| Tris Pharma Inc | $830 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-01-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071228000508 | I | Psychiatry | AR | TBD |
| I20140115000694 | I | Psychiatry | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 159 | 60 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 15 | 14 | $0 |
Insurance plans in this area (ZIP 71854)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | AR | 90792 | Psychiatric diagnostic evaluation with medical services | 303 | 298 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Mental Health Counselor | UT | |
| Marriage And Family Therapist | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Clinical Social Worker | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | LA |
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