DR. OLUBUNMI OLATAYO ESAN (M.D) – Surgery Physician, NPI 1558795377

DR. OLUBUNMI OLATAYO ESAN (M.D) is a healthcare provider. based in Moraine, Ohio. specializing in VASCULAR SURGERY. They hold the professional credentials M.D. They hold a License No. ME158241 (FL). The NPI Number for DR. OLUBUNMI OLATAYO ESAN (M.D) is 1558795377

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLUBUNMI OLATAYO ESAN (M.D)
NPI
1558795377
Phone
(937) 991-3188
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
28 August 2013
Last Update Date
11 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4075436411
Graduation Year
1998 (28 years ago)
PAC ID
6103131487
Professional Enrollment ID
I20240808001443
Address ID
FL327461694LA1355XPKWY405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

303 VASCULAR SURGERY in OH

Provider Addresses for DR. OLUBUNMI OLATAYO ESAN (M.D)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3188

    Fax: (937) 223-9811

    Type: Mailing

  • 2350 MIAMI VALLEY DR STE 300

    CENTERVILLE, OH 454594778

    Phone: (937) 438-8640

    Fax: (937) 438-8615

    Type: Location

  • 37 BALL PARK RD

    HARLAN, KY 408311701

    Phone: (606) 573-4520

    Type: Mailing

  • 1691 Mayo Dr

    Tavares, FL 327784301

    Phone: (407) 543-6411

    Type: Location

  • 410 Celebration Pl Ste 402

    Celebration, FL 347475436

    Phone: (407) 303-4080

    Fax: (407) 303-7255

    Type: Location

  • 4300 W LAKE MARY BLVD STE 1010

    LAKE MARY, FL 327462449

    Phone: (407) 543-6411

    Fax: (407) 627-0311

    Type: Mailing

  • 1355 S INTERNATIONAL PKWY STE 1491

    LAKE MARY, FL 327461694

    Phone: (040) 754-3641

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $4,932.

Total Amount is formed as General ($4,932) + Research ($0) + Ownership ($0) = $4,932.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Medtronic, Inc. ($1,782).

Total Amount

$4,932

General + Research + Ownership

Payments

31

Total payment records

General Amount

$4,932

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

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: 2025-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 8 Medicare enrollment records; no due dates published yet.

Enrollment records

8

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
I20210730002605IVascular SurgeryOHTBD
I20210817001624IGeneral SurgeryVATBD
I20220106000714IVascular SurgeryPATBD
I20221026002052IVascular SurgeryKYTBD
I20230705001900IGeneral SurgeryNHTBD
I20231222002062IVascular SurgeryMOTBD
I20240808001443IVascular SurgeryFLTBD
I20250514001892IVascular SurgeryINTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes3022$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2726$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2013$0
View full utilization report →

Insurance plans in this area (ZIP 45439)

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Provider's Procedures

DR. OLUBUNMI OLATAYO ESAN (M.D) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
GENERAL SURGERYKY45385Removal of polyps or growths of large bowel using an endoscope1313

Reviews

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Frequently asked questions

What federal number belongs to DR. OLUBUNMI OLATAYO ESAN (M.D)?
The federal identifier for DR. OLUBUNMI OLATAYO ESAN (M.D) is NPI 1558795377.
Does this profile mean DR. OLUBUNMI OLATAYO ESAN (M.D) is currently active?
Yes — DR. OLUBUNMI OLATAYO ESAN (M.D) appears active in the national provider directory.
What field does DR. OLUBUNMI OLATAYO ESAN (M.D) work in?
You can think of DR. OLUBUNMI OLATAYO ESAN (M.D) as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. OLUBUNMI OLATAYO ESAN (M.D)'s primary listing?
We display Moraine, Ohio because that is what the record indicates for DR. OLUBUNMI OLATAYO ESAN (M.D).
How can I contact DR. OLUBUNMI OLATAYO ESAN (M.D)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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