DR. OLUDARE OGUNSOLA (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1598911323
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
419 SPORTS MEDICINE in FL
Provider Addresses for DR. OLUDARE OGUNSOLA (D.O.)
272 HOSPITAL RD STE 6
CHILLICOTHE, OH 456019031
Phone: (740) 779-4222
Fax: (740) 779-4257
Type: Mailing
800 VIRGINIA AVE STE 45
FORT PIERCE, FL 349825893
Phone: (740) 779-4598
Fax: (740) 779-4599
Type: Location
10380 SW VILLAGE CENTER DR STE 148
PORT ST LUCIE, FL 349871931
Phone: (772) 266-7846
Fax: (561) 510-9738
Type: Mailing
North Bridge Street, Chillicothe, Ross County, Ohio, 45601, United States
CHILLICOTHE, OH 456017065
Phone: (740) 779-4598
Fax: (740) 779-4599
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $131.
Total Amount is formed as General ($131) + Research ($0) + Ownership ($0) = $131.
Last reported payment date: 2024-06-21 • Largest payer in this snapshot: Biocomposites Inc ($77).
Total Amount
$131
General + Research + Ownership
Payments
4
Total payment records
General Amount
$131
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Biocomposites Inc | $77 |
| TRICE MEDICAL, INC. | $39 |
| CDC Medical LLC | $14 |
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: 2017-05-24
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 |
|---|---|---|---|---|
| I20170524002423 | I | Sports Medicine | OH | 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 |
|---|---|---|---|---|
| 20610 | Aspiration and/or injection of fluid from large joint | 281 | 94 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 250 | 147 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 105 | 74 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 55 | 55 | $0 |
Insurance plans in this area (ZIP 45601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Physician Assistant | OH | |
| O T O L A R Y N G O L O G Y | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Family Practice | OH | |
| Thoracic Surgery | OH | |
| Gastroenterology, Internal Medicine | OH | |
| Physician Assistant | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH |
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