ADENIYI O ODUGBESAN (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1528175601

ADENIYI O ODUGBESAN (M.D.) is a healthcare provider. based in Lawrenceville, Georgia. specializing in ENDOCRINOLOGY. They hold the professional credentials M.D.. They hold a License No. 33660 (GA). The NPI Number for ADENIYI O ODUGBESAN (M.D.) is 1528175601

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
ADENIYI O ODUGBESAN (M.D.)
NPI
1528175601
Phone
(770) 339-1387
Address
771 OLD NORCROSS RD
Enumeration Date
24 August 2006
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7703391387229
Graduation Year
1977 (49 years ago)
PAC ID
3577604784
Group Practice PAC ID
7618965146
Professional Enrollment ID
I20100122000480
Address ID
GA300464980LA771XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

239 ENDOCRINOLOGY in GA

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Provider Addresses for ADENIYI O ODUGBESAN (M.D.)

  • 771, Old Norcross Road, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    SUITE 200

    LAWRENCEVILLE, GA 300464386

    Phone: (770) 339-1387

    Fax: (770) 962-7868

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 287 Open Payments records for all available years, with a total value of $62,401.

Total Amount is formed as General ($59,997) + Research ($2,404) + Ownership ($0) = $62,401.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novo Nordisk Inc ($31,238).

Total Amount

$62,401

General + Research + Ownership

Payments

287

Total payment records

General Amount

$59,997

General payments

Research Amount

$2,404

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2010-01-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100122000480IEndocrinologyGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes651333$0
82962Blood glucose (sugar) test performed by hand-held instrument287153$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report23895$0
99213Established patient office or other outpatient visit, 20-29 minutes153134$0
76536Ultrasound scan of head and neck soft tissue9390$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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Provider's Procedures

ADENIYI O ODUGBESAN (M.D.) performs procedures in ENDOCRINOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ENDOCRINOLOGYGA83036Hemoglobin A1C level9779

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: 7618965146View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Nurse PractitionerGA
E N D O C R I N O L O G YGA
E N D O C R I N O L O G YGA
E N D O C R I N O L O G YGA
E N D O C R I N O L O G YGA
E N D O C R I N O L O G YGA
Nurse PractitionerGA

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Frequently asked questions

What federal number belongs to ADENIYI O ODUGBESAN (M.D.)?
The federal identifier for ADENIYI O ODUGBESAN (M.D.) is NPI 1528175601.
Is ADENIYI O ODUGBESAN (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is ADENIYI O ODUGBESAN (M.D.)?
The page reflects Endocrinology, Diabetes & Metabolism Physician for ADENIYI O ODUGBESAN (M.D.). Clinical services aligned with this taxonomy classification.
Where does public data place ADENIYI O ODUGBESAN (M.D.)?
The snapshot lists Lawrenceville, Georgia for ADENIYI O ODUGBESAN (M.D.); download NPPES for the complete set.
What if Lawrenceville, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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