OLATUNDE BOSU – Addiction Medicine (Family Medicine) Physician, NPI 1588070346
Addiction Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,190 FAMILY PRACTICE in CA
Provider Addresses for OLATUNDE BOSU
39407 VISTA DEL SOL
RANCHO MIRAGE, CA 922703283
Phone: (760) 773-4130
Fax: (607) 773-1374
Type: Location
100 NORTH ACADEMY AVE
DANVILLE, PA 178224903
Phone: (570) 214-5681
Fax: (570) 271-6578
Type: Mailing
100 North Academy Ave
Danville, PA 17822
Phone: (570) 214-5681
Fax: (570) 271-6578
Type: Location
405 Belcher St
Centreville, AL 350422946
Phone: (205) 926-2992
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $396.
Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Alkermes, Inc. ($300).
Total Amount
$396
General + Research + Ownership
Payments
10
Total payment records
General Amount
$396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $300 |
| USWM, LLC | $39 |
| Ethicon US, LLC | $38 |
| Indivior Inc. | $19 |
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: 2023-04-16
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 |
|---|---|---|---|---|
| I20171023000126 | I | Family Practice | PA | TBD |
| I20230416000030 | I | Family Practice | CA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 43 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 17 | 11 | $0 |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 92270)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | CA | |
| Family Practice | NV | |
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Emergency Medicine | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Internal Medicine, Preventive Medicine | CA | |
| Emergency Medicine | CA |
Reviews
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