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Dr. Modupe Oluya , MD

Internal Medicine • Dover, DE

Active NPI 1811492937 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

640 S State St
Dover, DE 199013530

Call 3027447581 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

640 S State St

Dover, DE 199013530

Telephone 3027447581
Organization at the Same NPPES Address or Phone
Bayhealth Medical Center / Kent General Hospital Facility NPI 1962495838

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Apogee Medical Group Delaware Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Medicare patients

310 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $87,322 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $69,452 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

33 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$92 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Oluya has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Oluya as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Dover and Delaware

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: 960. Middle half: 686 to 1,703.

More Medicare Part B services than 60% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: 725. Middle half: 300 to 1,159.

Medicare-allowed amount

Close to the middle for clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: $87,097. Middle half: $65,138 to $138,740.

A higher Medicare-allowed amount than 60% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: $70,420. Middle half: $31,824 to $110,420.

Paid by Medicare

Close to the middle for clinicians listed under Internal Medicine in Dover, DE (2024, 30 clinicians with data). Median for this group: $67,762. Middle half: $49,422 to $105,190.

A higher Medicare payment amount than 60% of clinicians listed under Internal Medicine in Delaware (2024, 379 clinicians with data). Median for this group: $54,415. Middle half: $24,740 to $87,023.

Medicare Part D prescriptions

Fewer Part D prescriptions than 75% of clinicians listed under Internal Medicine in Dover, DE (2024, 29 clinicians with data). Median for this group: 222. Middle half: 46 to 3,913.

Fewer Part D prescriptions than 85% of clinicians listed under Internal Medicine in Delaware (2024, 343 clinicians with data). Median for this group: 223. Middle half: 60 to 3,145.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Internal Medicine in Dover, DE (2024, 29 clinicians with data). Median for this group: $17,420. Middle half: $281 to $403,257.

A lower Part D drug cost than 90% of clinicians listed under Internal Medicine in Delaware (2024, 343 clinicians with data). Median for this group: $17,490. Middle half: $814 to $271,582.

44 active clinicians are listed under Internal Medicine with a practice address in Dover, DE (601 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dover

18.2% of these 44 clinicians have the CMS telehealth indicator.

65.9% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2021–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
544 197 $80.19 $76.73
99239 Hospital discharge day management, more than 30 minutes
136 133 $114.72 $112.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
111 65 $122.63 $116.54
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
86 15 $49.23 $48.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
46 45 $140.18 $128.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
43 42 $175.06 $169.91

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 18 125 $41.17 18
Amlodipine Besylate Amlodipine Besylate 15 446 $50.53 15

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-05
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES DE DR-0024850

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - HOSPITALIST

Medicare Enrollment ID

I20211102000046

Enrollment State Jurisdiction

DE

PECOS Control ID

2668860263

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Apogee Medical Group Delaware Inc

640 S State St, Dover, DE 199013530

Phone: 3026744700

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
NPI 1366892291

Doctor of Medicine (M.D.)

Rhea D'souza

Family Medicine

NPI 1861914277
NPI 1104953843

Doctor of Osteopathic Medicine (D.O.)

NPI 1295117042

Doctor of Medicine (M.D.)

NPI 1710069943

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
📍
Updated Practice Location May 05, 2022

Registered at 640 S STATE ST, DOVER, DE 199013530 (Tel: 3027447581)

âś…
NPI Profile Active March 29, 2018

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) March 29, 2018

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: 7182701566)

📍
Business Mailing Address (Initial Record) March 29, 2018

Registered at 450 CLARKSON AVE, BROOKLYN, NY 112032012 (Tel: 7182701566)

👤
Provider Name / Credentials (Initial Record) March 29, 2018

Recorded as MODUPE OLUYA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1811492937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2018
Last Update: May 05, 2022
Sole Proprietor: No

Other Internal Medicine Providers in Dover

All Internal Medicine Providers in Dover

Mailing Address

450 Clarkson Ave

Brooklyn, NY 112032012

Phone: 7182701566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.