MS. ONAOPEMIPO OLAYIDE OFODILE (M.D.) – Dermatology Physician, NPI 1104140037
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
409 DERMATOLOGY in GA
Provider Addresses for MS. ONAOPEMIPO OLAYIDE OFODILE (M.D.)
4800 OLDE TOWNE PKWY STE 250
MARIETTA, GA 300684428
Phone: (770) 971-3376
Type: Location
2045 Peachtree Rd NE Ste 200
Atlanta, GA 30309
Phone: (404) 351-7546
Fax: (404) 351-2993
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 267 Open Payments records for all available years, with a total value of $5,587.
Total Amount is formed as General ($5,587) + Research ($0) + Ownership ($0) = $5,587.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($1,747).
Total Amount
$5,587
General + Research + Ownership
Payments
267
Total payment records
General Amount
$5,587
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,747 |
| E.R. Squibb & Sons, L.L.C. | $556 |
| Regeneron Healthcare Solutions, Inc. | $386 |
| PFIZER INC. | $301 |
| Amgen Inc. | $202 |
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: 2017-09-28
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20170928002210 | I | Dermatology | GA | 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 |
|---|---|---|---|---|
| J7345 | Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg | 8,800 | 43 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 3,509 | 537 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,103 | 774 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,009 | 689 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 691 | 538 | $0 |
Insurance plans in this area (ZIP 30068)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | GA | |
| D E R M A T O L O G Y | AL |
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