MR. ADEYINKA CHARLES ADEJUMO (MD) – Gastroenterology Physician, NPI 1275063893

MR. ADEYINKA CHARLES ADEJUMO (MD) is a healthcare provider. based in Macon, Georgia. specializing in GASTROENTEROLOGY. They hold the professional credentials MD. They hold a License No. 102689 (GA). The NPI Number for MR. ADEYINKA CHARLES ADEJUMO (MD) is 1275063893

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MR. ADEYINKA CHARLES ADEJUMO (MD)
NPI
1275063893
Phone
(478) 464-2600
Address
610 3RD ST STE 101
Enumeration Date
15 June 2017
Last Update Date
30 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4784642600
Graduation Year
2009 (17 years ago)
PAC ID
1951674241
Group Practice PAC ID
6901702059
Professional Enrollment ID
I20250319002610
Address ID
GA312013262MA610XXSTXX305
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:9State licenses:1Digital endpointsOther names

527 GASTROENTEROLOGY in GA

Provider Addresses for MR. ADEYINKA CHARLES ADEJUMO (MD)

  • 610 3RD ST STE 101

    MACON, GA 312013293

    Phone: (478) 464-2600

    Fax: (478) 742-2040

    Type: Mailing

  • UPMC PRESBYTERIAN M2 C-W WING

    200 LOTHROP STREET

    PITTSBURGH, PA 15213

    Phone: (412) 864-7071

    Fax: (412) 864-7080

    Type: Location

  • Forbes Tower, 3600, Forbes Avenue, Oakland, Central Oakland, Pittsburgh, Allegheny County, Pennsylvania, 15213, United States

    FORBES TOWER - PLAZA LEVEL SUITE 140

    PITTSBURGH, PA 15213

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 39 Open Payments records for all available years, with a total value of $3,449.

Total Amount is formed as General ($3,449) + Research ($0) + Ownership ($0) = $3,449.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Boston Scientific Corporation ($2,965).

Total Amount

$3,449

General + Research + Ownership

Payments

39

Total payment records

General Amount

$3,449

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230731003868IGastroenterologyNCTBD
I20240708002393IGastroenterologyNYTBD
I20250319002610IGastroenterologyGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity14237$0
99204New patient office or other outpatient visit, 45-59 minutes4343$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4139$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3636$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare2625$0
View full utilization report →

Insurance plans in this area (ZIP 31201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901702059View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
-GA
Physician AssistantGA
P A T H O L O G YSC
Nurse PractitionerGA
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
G A S T R O E N T E R O L O G YGA

Reviews

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Frequently asked questions

What is the standard ID for MR. ADEYINKA CHARLES ADEJUMO (MD) in the U.S.?
In the U.S., MR. ADEYINKA CHARLES ADEJUMO (MD) is identified by NPI 1275063893.
Does the public listing show MR. ADEYINKA CHARLES ADEJUMO (MD) as active?
MR. ADEYINKA CHARLES ADEJUMO (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. ADEYINKA CHARLES ADEJUMO (MD)?
NPPES ties MR. ADEYINKA CHARLES ADEJUMO (MD) to Gastroenterology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. ADEYINKA CHARLES ADEJUMO (MD)?
MR. ADEYINKA CHARLES ADEJUMO (MD) is associated with Macon, Georgia in the same public data insurers reference.
Why is information missing for MR. ADEYINKA CHARLES ADEJUMO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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