DR. MODUPE ADEDAMOLA ADERIBIGBE (D.P.M.) – Podiatrist, NPI 1407092927
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
285 PODIATRY in MO
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Provider Addresses for DR. MODUPE ADEDAMOLA ADERIBIGBE (D.P.M.)
5471, Doctor Martin Luther King Drive, Wells Goodfellow, Cabanne Place, City of Saint Louis, Missouri, 63112, United States
SAINT LOUIS, MO 631124265
Phone: (314) 367-5820
Fax: (314) 367-7010
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 2 Open Payments records for all available years, with a total value of $29.
Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: MIMEDX Group, Inc. ($16).
Total Amount
$29
General + Research + Ownership
Payments
2
Total payment records
General Amount
$29
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| MIMEDX Group, Inc. | $16 |
| Medtronic, Inc. | $13 |
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: 2011-09-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110926000851 | I | Podiatry | 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 |
|---|---|---|---|---|
| 11721 | Removal of fingernails or toenails, 6 or more nails | 30 | 14 | $0 |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 22 | 13 | $0 |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 19 | 11 | $0 |
Insurance plans in this area (ZIP 63112)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Internal Medicine | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| Family Practice | TN | |
| - | MO | |
| - | MO | |
| Internal Medicine | MO | |
| - | MO |
Reviews
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