OSARETIN B IDUSUYI (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1417944091

OSARETIN B IDUSUYI (MD) is a healthcare provider. based in Springfield, Illinois. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 036095609 (IL). The NPI Number for OSARETIN B IDUSUYI (MD) is 1417944091

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
OSARETIN B IDUSUYI (MD)
NPI
1417944091
Phone
(217) 547-9100
Address
PO BOX 9469
Enumeration Date
29 September 2005
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
2172226550
Graduation Year
1990 (36 years ago)
PAC ID
2769524180
Group Practice PAC ID
0749192375
Professional Enrollment ID
I20100123000186
Address ID
IL623013027QU1118XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,265 ORTHOPEDIC SURGERY in IL

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Provider Addresses for OSARETIN B IDUSUYI (MD)

  • Springfield Post Office, Fortunestown Shopping Centre, Tallaght-Fettercairn DED 1986, Tallaght, South Dublin, County Dublin, Leinster, D24 EP20, Ireland

    SPRINGFIELD, IL 627919469

    Phone: (217) 547-9100

    Fax: (217) 547-9236

    Type: Mailing

  • 1301, South Koke Mill Road, Springfield, Sangamon County, Illinois, 62711, United States

    SPRINGFIELD, IL 627119252

    Phone: (217) 547-9100

    Fax: (217) 547-9236

    Type: Location

  • 1118 HAMPSHIRE ST

    QUINCY, IL 623013027

    Phone: (217) 222-6550

    Fax: (217) 277-2253

    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 $468.

Total Amount is formed as General ($468) + Research ($0) + Ownership ($0) = $468.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Stryker Corporation ($446).

Total Amount

$468

General + Research + Ownership

Payments

39

Total payment records

General Amount

$468

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2010-01-23

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
I20100123000186IOrthopedic SurgeryILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes217128$0
73630X-ray of foot, minimum of 3 views17893$0
73610X-ray of ankle, minimum of 3 views14463$0
73600X-ray of ankle, 2 views3929$0
99204New patient office or other outpatient visit, 45-59 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 62791)

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Provider's Procedures

OSARETIN B IDUSUYI (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYIL20610Aspiration and/or injection of large joint or joint capsule1513
ORTHOPEDIC SURGERYIL73110X-ray of wrist, minimum of 3 views2913
ORTHOPEDIC SURGERYIL73562X-ray of knee, 3 views2621

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: 0749192375View full group profile

Reviews

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Frequently asked questions

Can I cross-check OSARETIN B IDUSUYI (MD) using NPI 1417944091?
NPI 1417944091 belongs to OSARETIN B IDUSUYI (MD); compare other details if you need extra assurance.
Is OSARETIN B IDUSUYI (MD) shown as active in public data?
Registry records indicate OSARETIN B IDUSUYI (MD) maintains an active NPI.
What clinical focus is listed for OSARETIN B IDUSUYI (MD)?
At a glance, OSARETIN B IDUSUYI (MD) is tied to Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is OSARETIN B IDUSUYI (MD) registered?
Use Springfield, Illinois as the headline location for OSARETIN B IDUSUYI (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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