GRACE IYABO KOMOLAFE (M.D.) – Emergency Medicine Physician, NPI 1053790816
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for GRACE IYABO KOMOLAFE (M.D.)
1000 W HARLEM AVE
MONMOUTH, IL 614621007
Phone: (309) 734-3141
Fax: (309) 734-3029
Type: Location
1650 Grand Concourse
Bronx, NY 104577679
Phone: (718) 992-7669
Type: Location
13303 Jamaica Ave
Jamaica, NY 114182618
Phone: (718) 206-6942
Type: Location
1 Medical Park
Wheeling, WV 260036379
Phone: (304) 243-3000
Type: Location
1 MEDICAL PARK
WHEELING, WV 26003
Phone: (304) 243-3000
Type: Location
200 CORPORATE BLVD
LAFAYETTE, LA 705083870
Phone: (800) 893-9698
Type: Mailing
1001 WEST ST
CARTHAGE, NY 136199703
Phone: (800) 893-9698
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2024-01-26 • Largest payer in this snapshot: ABBVIE INC. ($67).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $67 |
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: 2022-11-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 13 Medicare enrollment records; no due dates published yet.
Enrollment records
13
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 |
|---|---|---|---|---|
| I20181116001687 | I | Emergency Medicine | WV | TBD |
| I20210908000286 | I | Family Practice | MD | TBD |
| I20210908003091 | I | Family Practice | FL | TBD |
| I20210913000028 | I | Emergency Medicine | PA | TBD |
| I20210913000049 | I | Family Practice | NJ | TBD |
| I20210913000349 | I | Family Practice | ME | TBD |
| I20220218000202 | I | Emergency Medicine | NY | TBD |
| I20220324000604 | I | Family Practice | TN | TBD |
| I20220329000841 | I | Family Practice | CT | TBD |
| I20220330001810 | I | Emergency Medicine | IL | TBD |
| I20220330002310 | I | Family Practice | WI | TBD |
| I20221117001240 | I | Family Practice | DC | TBD |
| I20221128000738 | I | Emergency Medicine | IA | 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 |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 161 | 159 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 70 | 70 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 64 | 64 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 48 | 48 | $0 |
| 99291 | Critical care, first 30-74 minutes | 34 | 34 | $0 |
Insurance plans in this area (ZIP 61462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | NY | |
| Emergency Medicine | NY | |
| Emergency Medicine, Hospitalist | NY | |
| Cardiovascular Disease (Cardiology) | NY | |
| Emergency Medicine | NY | |
| Physical Medicine And Rehabilitation, Pain Management | NY | |
| G A S T R O E N T E R O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| - | NY |
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