Dr. John Babalola , MD
Surgery โข Valley Stream, NY
260 W Sunrise Hwy, Ste 200
Valley Stream, NY 115811011
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 17, 2006; this date does not establish years in practice.
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Published CMS data list 1,254 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 93970 โ Ultrasound study of arm or leg veins with compression and maneuvers: 288 service units.
- 36465 โ Injection of chemical agent into single incompetent vein of leg using ultrasound guidance: 182 service units.
- 93971 โ Ultrasound study of one arm or leg veins with compression and maneuvers: 173 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 13 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 55 Medicare Part D prescriptions, including refills, in 2017.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2017. Published rows only; this is not a quality measure.
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Published Part D records, 2017:
- Cephalexin โ 40 prescription fills, including refills.
- Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) โ 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2017. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: 191. Middle half: 83 to 381.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 79 in 2017 to 1,254 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2017โ2024.
Practice Location & Contact Primary Location
260 W Sunrise Hwy
Ste 200
Valley Stream, NY 115811011
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Bushwick Medical Of New York Llc; Foxhurst Medical Of New York Llc; Pelham Pkwy Medical Of New York Llc. 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
University Of Wisconsin School Of Medicine
1996
What Public CMS Data Show
Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
206 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $762,694 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $611,630 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 โ by Provider and Service, 2024.
30-day fills
55 standardized 30-day fills in 2017
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
$424 in 2017
The total cost of these prescriptions in 2017, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 โ by Provider and Drug, 2017.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
30 years (graduated 1996)
CMS Doctors and Clinicians data list 1996 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2006
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Babalola 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.
Can order Medicare-covered services
CMS lists Dr. Babalola 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Valley Stream and New York
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: 191. Middle half: 83 to 381.
Too few clinicians listed under Surgery in Valley Stream have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: $24,272. Middle half: $9,849 to $54,064.
Too few clinicians listed under Surgery in Valley Stream have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Surgery in New York (2024, 991 clinicians with data). Median for this group: $18,754. Middle half: $7,491 to $41,963.
Too few clinicians listed under Surgery in Valley Stream have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Babalola are from 2017.
7 active clinicians are listed under Surgery with a practice address in Valley Stream, NY (2,058 in New York).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 1487% from 79 in 2017 to 1,254 in 2024.
- 2017: 79
- 2022: 678
- 2023: 176
- 2024: 1,254
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Medicare-allowed amount
Medicare-allowed amount increased 6852% from $10,971 in 2017 to $762,694 in 2024.
- 2017: $10,971
- 2022: $57,786
- 2023: $13,465
- 2024: $762,694
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Paid by Medicare
Paid by Medicare increased 8598% from $7,032 in 2017 to $611,630 in 2024.
- 2017: $7,032
- 2022: $46,042
- 2023: $8,280
- 2024: $611,630
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 18% from 67 in 2013 to 55 in 2017.
- 2013: 67
- 2014: 69
- 2015: 75
- 2016: 118
- 2017: 55
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30-day fills
30-day fills decreased 18% from 67 in 2013 to 55 in 2017.
- 2013: 67
- 2014: 69
- 2015: 75
- 2016: 118
- 2017: 55
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Part D drug cost
Part D drug cost went from $378 in 2013 to $424 in 2017.
- 2013: $378
- 2014: $615
- 2015: $715
- 2016: $920
- 2017: $424
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2017), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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 |
|---|---|---|---|---|
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93970
Ultrasound study of arm or leg veins with compression and maneuvers
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288 | 197 | $1200.00 | $231.33 |
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36465
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance
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182 | 70 | $18000.00 | $1595.72 |
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93971
Ultrasound study of one arm or leg veins with compression and maneuvers
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173 | 80 | $900.00 | $148.02 |
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36482
Chemical destruction of first incompetent vein of arm or leg using imaging guidance
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130 | 67 | $32000.00 | $2057.00 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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117 | 85 | $190.00 | $110.25 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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67 | 67 | $240.00 | $133.98 |
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76942
Ultrasonic guidance for needle placement
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65 | 35 | $550.00 | $70.48 |
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99202
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
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56 | 56 | $230.00 | $86.29 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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56 | 50 | $150.00 | $68.71 |
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36470
Injection of chemical agent into single incompetent vein
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37 | 28 | $1200.00 | $144.41 |
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36478
Laser destruction of incompetent vein of arm or leg using imaging guidance
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34 | 23 | $17000.00 | $1203.54 |
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36471
Injection of chemical agent into multiple incompetent veins of leg
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29 | 19 | $1600.00 | $249.90 |
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36475
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance
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20 | 14 | $17000.00 | $1199.25 |
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 2017.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Cephalexin | Cephalexin | 40 | 279 | $158.47 | 36 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 15 | 202 | $265.34 | 14 |
Source: CMS Part D by Provider and Drug, 2017; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 208600000X
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL SURGERY
I20080627000584
NY
6507938032
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
Pelham Pkwy Medical Of New York Llc
260 W Sunrise Hwy, Valley Stream, NY 115811011
Phone: 3474297699
Bushwick Medical Of New York Llc
155 Dyckman St, New York, NY 100401003
Phone: 6467983978
Bushwick Medical Of New York Llc
441 Knickerbocker Ave, Brooklyn, NY 112374508
Phone: 3477732684
Foxhurst Medical Of New York Llc
16203 Jamaica Ave, Jamaica, NY 114324909
Phone: 8475938460
Foxhurst Medical Of New York Llc
947 Southern Blvd, Bronx, NY 104593401
Phone: 7185135855
Bushwick Medical Of New York Llc
11602 Queens Blvd, Forest Hills, NY 113757055
Phone: 3475355608
Bushwick Medical Of New York Llc
4025 Hempstead Tpke, Bethpage, NY 117145606
Phone: 9292079470
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Nurse Practitioner - Family
Nurse Practitioner
Pediatrics
Doctor of Medicine (M.D.)
Internal Medicine - Hematology & Oncology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at 260 W SUNRISE HWY, STE 200, VALLEY STREAM, NY 115811011 (Tel: 5168253600)
Registered at 55 WATER ST, 12TH FLOOR, CREDENTIALING, NEW YORK, NY 100410004 (Tel: 6466802888)
Recorded as JOHN BABALOLA, M.D.
Surgery (license number reported to NPPES: NY 229550)
NPI status registered as active in NPPES database
Registered at 350 S BROADWAY, HICKSVILLE, NY 118015006 (Tel: 5169380100)
Registered at 441 9TH AVENUE, CREDENTIALING OFFICE - 3RD FLOOR, NEW YORK, NY 10001 (Tel: 6466802894)
Recorded as JOHN BABALOLA, M.D.
Surgery (license number reported to NPPES: NY 229550)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Surgery Specialists in Valley Stream
Healthcare providers in Valley StreamMailing Address
55 Water St, 12th Floor, Credentialing
New York, NY 100410004
Phone: 6466802888