DR. OLABODE OLUMOFIN (M.D.) – Internal Medicine Physician, NPI 1720025513
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
561 EMERGENCY MEDICINE in AR
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Provider Addresses for DR. OLABODE OLUMOFIN (M.D.)
1801 W 40TH AVE STE 1C
PINE BLUFF, AR 716036956
Phone: (870) 535-4141
Fax: (870) 535-4141
Type: Mailing
1801, West 40th Avenue, Pine Bluff, Jefferson County, Arkansas, 71603, United States
SUITE 1C
PINE BLUFF, AR 716036940
Phone: (870) 535-4141
Fax: (870) 535-9180
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 43 Open Payments records for all available years, with a total value of $1,533.
Total Amount is formed as General ($1,533) + Research ($0) + Ownership ($0) = $1,533.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medtronic, Inc. ($393).
Total Amount
$1,533
General + Research + Ownership
Payments
43
Total payment records
General Amount
$1,533
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $393 |
| ABBVIE INC. | $257 |
| PFIZER INC. | $249 |
| Janssen Pharmaceuticals, Inc | $182 |
| AstraZeneca Pharmaceuticals LP | $174 |
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: 2004-03-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040319001493 | I | Internal Medicine | AR | 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 | 500 | 112 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 367 | 62 | $0 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 166 | 38 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 91 | 52 | $0 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 88 | 37 | $0 |
Insurance plans in this area (ZIP 71603)
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Provider's Procedures
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