RAPHAEL OLUSEUN ODEKUNLE (MD) – Family Medicine Physician, NPI 1497108690
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RAPHAEL OLUSEUN ODEKUNLE (MD)
181 FRANKLIN AVE STE 301
NUTLEY, NJ 071102900
Phone: (973) 320-2625
Fax: (973) 320-2626
Type: Mailing
Bronx-Lebanon Hospital Center Fulton Division, 1276, Fulton Avenue, The Bronx, Bronx County, New York, 10456, United States
BRONX, NY 104563402
Phone: (718) 992-7669
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-02-10 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $23 |
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: 2024-09-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20190826002014 | I | Family Practice | NJ | TBD |
| I20191018002046 | I | Family Practice | NY | TBD |
| I20240910001870 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 145 | 137 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 141 | 137 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 78 | 78 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 75 | 75 | $0 |
| 81003 | Automated urinalysis test | 24 | 23 | $0 |
Insurance plans in this area (ZIP 07110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Physician Assistant | NJ | |
| - | NJ | |
| Physician Assistant | FL | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ |
Reviews
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