OLUTAYO ABIDEMI SOGUNRO (D.O.) – Surgery Physician, NPI 1477827525
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
827 GENERAL SURGERY in MD
Provider Addresses for OLUTAYO ABIDEMI SOGUNRO (D.O.)
2720 MAIN ST
BRIDGEPORT, CT 066065363
Phone: (210) 558-6288
Type: Mailing
5759 Cedar Ln
Columbia, MD 210442912
Phone: (410) 502-0197
Fax: (410) 630-7884
Type: Location
1200 N BEDELL AVE
DEL RIO, TX 788404491
Phone: (830) 768-9207
Type: Location
6201 GREENLEIGH AVE
BALTIMORE, MD 212202004
Phone: (410) 933-6423
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $107.
Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.
Last reported payment date: 2024-04-18 • Largest payer in this snapshot: ABBVIE INC. ($107).
Total Amount
$107
General + Research + Ownership
Payments
1
Total payment records
General Amount
$107
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $107 |
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: 2022-09-15
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 |
|---|---|---|---|---|
| I20170619001172 | I | General Surgery | TX | TBD |
| I20220915001533 | I | General Surgery | MD | 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 | 41 | 35 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 29 | 29 | $0 |
| 19301 | Partial removal of breast | 24 | 23 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 22 | 22 | $0 |
| 38900 | Imaging of lymph nodes during surgery | 19 | 19 | $0 |
Insurance plans in this area (ZIP 06606)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MD | |
| O T O L A R Y N G O L O G Y | TX | |
| Clinical Psychologist | MD | |
| Physician Assistant | MD | |
| Physician Assistant | MD | |
| O P H T H A L M O L O G Y | MD | |
| Pulmonary Disease, Internal Medicine | MD | |
| A N E S T H E S I O L O G Y | MD | |
| - | MD | |
| Emergency Medicine, Internal Medicine | MD |
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