DR. EZEKIEL OLADEJO ADETUNJI (MD) – Family Medicine Physician, NPI 1033302013
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,210 FAMILY PRACTICE in TN
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Provider Addresses for DR. EZEKIEL OLADEJO ADETUNJI (MD)
139, Stonebridge Boulevard, Jackson, Madison County, Tennessee, 38305, United States
JACKSON, TN 383052040
Phone: (731) 300-3168
Fax: (731) 300-3169
Type: Mailing
150, Murray Guard Drive, Jackson, Madison County, Tennessee, 38305, United States
JACKSON, TN 383053609
Phone: (731) 300-3168
Fax: (731) 300-3169
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,176.
Total Amount is formed as General ($1,176) + Research ($0) + Ownership ($0) = $1,176.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($399).
Total Amount
$1,176
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,176
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-11-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (920 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20081110000810 | I | Family Practice | TN | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 225 | 41 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 192 | 47 | $0 |
| 99291 | Critical care, first 30-74 minutes | 127 | 23 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 87 | 25 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 77 | 52 | $0 |
Insurance plans in this area (ZIP 38305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN |
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