DR. SIMON OLALEKAN OKEWOLE (D.O.) – Clinical Cardiac Electrophysiology Physician, NPI 1205000296
Clinical Cardiac Electrophysiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
3,527 INTERNAL MEDICINE in TN
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Provider Addresses for DR. SIMON OLALEKAN OKEWOLE (D.O.)
17, Plaza Drive, Ravenswood, Jackson County, West Virginia, 26164, United States
JACKSON, TN 383052862
Phone: (731) 512-0104
Fax: (731) 668-7388
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 55 Open Payments records for all available years, with a total value of $4,343.
Total Amount is formed as General ($4,343) + Research ($0) + Ownership ($0) = $4,343.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Elutia, Inc. ($1,398).
Total Amount
$4,343
General + Research + Ownership
Payments
55
Total payment records
General Amount
$4,343
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Elutia, Inc. | $1,398 |
| Boston Scientific Corporation | $1,321 |
| ATRICURE, INC. | $634 |
| Biosense Webster, Inc. | $257 |
| CVRx, Inc. | $110 |
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: 2013-09-24
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 |
|---|---|---|---|---|
| I20130924000431 | I | Internal Medicine | TN | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,730 | 16 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 594 | 300 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 559 | 383 | $0 |
| J1245 | Injection, dipyridamole, per 10 mg | 249 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 227 | 181 | $0 |
Insurance plans in this area (ZIP 38305)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIAC ELECTROPHYSIOLOGY | TN | 71250 | CT scan chest | 14 | 14 |
| CARDIAC ELECTROPHYSIOLOGY | TN | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 45 | 45 |
| CARDIAC ELECTROPHYSIOLOGY | TN | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 92 | 92 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology), Emergency Medicine, Interventional Cardiology | TN | |
| Nurse Practitioner | TN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | TN | |
| Interventional Radiology, Cardiovascular Disease (Cardiology) | TN | |
| Cardiovascular Disease (Cardiology), Internal Medicine | MS | |
| Cardiovascular Disease (Cardiology) | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN |
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