CMS-1500 Box 24J / 33a • NPI
1730479452
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
2086S0122X (CMS 02)
Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery
Box 32 Service Location & ZIP+4
2709 MEREDYTH DR STE 340, ALBANY, GA, 31707
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1730479452 (OLUMAYOWA PITAN ABIODUN, M.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1730479452)
Medicare Beneficiaries
48
Total Billed Services
127
Distinct CPT/HCPCS Codes
43
Medicare Allowed Total
$22,300.29
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Celecoxib Celecoxib | 38 | 33 |
| Cephalexin Cephalexin | 31 | 26 |
| Fluconazole Fluconazole | 41 | 28 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 31 | 27 |
| Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim | 15 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1730479452 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | OLUMAYOWA PITAN ABIODUN, M.D. |
| Plain-English Specialty | Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery NUCC Code: 2086S0122X (Surgery, Plastic and Reconstructive Surgery) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2709 MEREDYTH DR STE 340, ALBANY, GA, 31707 |
| Practice Telephone / Fax | Tel: (229) 312-6501 | Fax: (229) 312-6505 |
| Administrative Mailing Address | 2709 MEREDYTH DR STE 340, ALBANY, GA, 31707-0219 |
| Enumeration & Last Sync | Enumerated: 2011-04-14 | CMS Record Updated: 2019-08-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (2086S0122X)
What Does Taxonomy Code 2086S0122X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2086S0122X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (OLUMAYOWA PITAN ABIODUN, M.D.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
390200000X — Student in an Organized Health Care Education/Training ProgramPlain English: Licensed & Credentialed Student in an Organized Health Care Education/Training Program | State: N/A | License: Verified | Primary: Secondary |
2086S0122X — Surgery, Plastic and Reconstructive SurgeryPlain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Surgery — Plastic and Reconstructive Surgery | State: GA | License: 82403 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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