DR. AYODELE OSOWO (MD) – Gastroenterology Physician, NPI 1063552479
Gastroenterology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
Provider Addresses for DR. AYODELE OSOWO (MD)
4500 Memorial Dr
Belleville, IL 622265360
Phone: (618) 257-6220
Type: Location
301 Highlander Blvd
Suite 121
Arlington, TX 760181163
Phone: (817) 468-7200
Fax: (817) 468-7201
Type: Location
3901 S Fremont Ave Fl 4
Springfield, MO 658046538
Phone: (417) 875-3250
Type: Location
301 HIGHLANDER BLVD
SUITE 121
ARLINGTON, TX 760181163
Phone: (817) 468-7200
Fax: (817) 468-7201
Type: Location
15300 WEST AVE STE 210
ORLAND PARK, IL 604624686
Phone: (708) 226-2870
Fax: (708) 226-2315
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 106 Open Payments records for all available years, with a total value of $2,005.
Total Amount is formed as General ($2,005) + Research ($0) + Ownership ($0) = $2,005.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($775).
Total Amount
$2,005
General + Research + Ownership
Payments
106
Total payment records
General Amount
$2,005
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $775 |
| Janssen Biotech, Inc. | $173 |
| Regeneron Healthcare Solutions, Inc. | $159 |
| GENZYME CORPORATION | $150 |
| Gilead Sciences, Inc. | $77 |
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: 2025-11-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20110908001759 | I | Gastroenterology | TX | TBD |
| I20210810002467 | I | Gastroenterology | NM | TBD |
| I20240618001080 | I | Gastroenterology | IL | TBD |
| I20251112002875 | I | Internal Medicine | MO | 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 | 111 | 74 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 47 | 47 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 43 | 43 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 42 | 42 | $0 |
Insurance plans in this area (ZIP 62226)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | TX | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 11 | 11 |
| GASTROENTEROLOGY | TX | 45378 | Diagnostic examination of large bowel using an endoscope | 31 | 31 |
| GASTROENTEROLOGY | TX | 45385 | Removal of polyps or growths of large bowel using an endoscope | 36 | 36 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Family Practice | IL | |
| - | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| G A S T R O E N T E R O L O G Y | GA | |
| Physician Assistant | IL | |
| - | MO | |
| Gastroenterology, Gastroenterology, Internal Medicine | OH |
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