Active NPI 1720025513 Individual Practitioner Male Practitioner

Dr. Olabode Olumofin , MD

Internal Medicine • Pine Bluff, AR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Olabode Olumofin, MD is a certified Internal Medicine practicing in Pine Bluff, AR. With approximately 34 years of clinical experience since completing medical education in 1992, Dr. Olumofin delivers high-quality medical care to the local community at 1801 W 40TH AVE.

Dr. Olumofin accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, prolonged office or other outpatient service by clinical staff - first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1801 W 40th Ave
Suite 1c

Pine Bluff, AR 716036940

Telephone 8705354141

Fax 8705359180

Associated Practice Facility / Clinic

🏢 Pine Bluff Radiologists, Ltd Facility NPI 1144212341

Medicare Profile & Education

Medical School

Other

Graduation Year

1992

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pine Bluff, AR

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

34 Yrs +1.9 yrs vs City Avg

City Avg: 32.1 Yrs

State Avg: 23.5 Yrs

Regional Practice Density

12 Specialists

Practicing in Pine Bluff, AR (800 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

42.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Olumofin (34 Years) 34 Yrs

Pine Bluff Specialty Average (32.1 Years) 32.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	352	55	$148.00	$107.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	95	$175.00	$115.54
99415 Prolonged office or other outpatient service by clinical staff - first hour	100	62	$50.00	$17.22
99213 Established patient office or other outpatient visit, typically 15 minutes	93	40	$120.00	$81.62
99497 Advance care planning, first 30 minutes	75	63	$121.00	$74.70
99238 Hospital discharge day management, 30 minutes or less	62	38	$120.00	$73.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	36	$288.00	$157.24
36415 Insertion of needle into vein for collection of blood sample	57	39	$20.00	$8.65
G0444 Annual depression screening, 5 to 15 minutes	55	55	$33.00	$16.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$185.00	$116.82
G0442 Annual alcohol misuse screening, 5 to 15 minutes	50	50	$33.00	$16.69
83036 Hemoglobin A1C level	34	26	$35.00	$9.52
99291 Critical care, first 30-74 minutes	25	12	$383.00	$191.69
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	24	$20.00	$13.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	500	112	$175.00	$117.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	367	62	$148.00	$110.91
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	166	38	$160.00	$44.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	91	52	$288.00	$161.07
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	88	37	$200.00	$42.55
99213 Established patient office or other outpatient visit, typically 15 minutes	87	59	$120.00	$81.98
99238 Hospital discharge day management, 30 minutes or less	78	47	$120.00	$74.95
99291 Critical care, first 30-74 minutes	66	17	$383.00	$198.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$185.00	$118.58
G0444 Annual depression screening, 5 to 15 minutes	56	56	$33.00	$16.60
99497 Advance care planning, first 30 minutes	52	44	$121.00	$76.77
G0442 Annual alcohol misuse screening, 5 to 15 minutes	51	51	$33.00	$16.60
81003 Automated urinalysis test	38	31	$10.00	$2.20
93923 Complete ultrasound study of arm and leg arteries	36	18	$280.00	$111.88
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	34	17	$130.00	$36.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	33	13	$97.00	$68.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	16	$103.00	$73.84
82044 Urine microalbumin (protein) analysis	23	18	$10.00	$6.11
36415 Insertion of needle into vein for collection of blood sample	20	19	$20.00	$8.40
95923 Testing of autonomic (sympathetic) nervous system function	18	18	$410.00	$109.95
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	18	18	$410.00	$79.16
83036 Hemoglobin A1C level	16	15	$35.00	$9.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$269.00	$164.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	617	145	$174.83	$117.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	512	83	$147.42	$94.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	161	77	$43.00	$43.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	148	36	$103.00	$65.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	77	$288.00	$180.01
99238 Hospital discharge day management, 30 minutes or less	118	72	$120.00	$65.83
99213 Established patient office or other outpatient visit, typically 15 minutes	102	66	$120.00	$82.43
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	82	40	$160.00	$44.48
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	81	39	$200.00	$46.32
99291 Critical care, first 30-74 minutes	68	13	$383.00	$201.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	52	$269.00	$165.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$185.00	$117.50
93923 Complete ultrasound study of arm and leg arteries	57	30	$280.00	$111.93
81003 Automated urinalysis test	52	45	$10.00	$2.22
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	47	33	$130.00	$36.69
99497 Advance care planning, first 30 minutes	42	36	$121.00	$78.27
83036 Hemoglobin A1C level	41	34	$35.00	$9.57
80307 Testing for presence of drug, by chemistry analyzers	37	31	$135.00	$61.50
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	35	35	$60.00	$15.73
G0444 Annual depression screening, 5 to 15 minutes	31	31	$33.00	$16.42
95921 Testing of autonomic nervous system function and heart rate response to deep breathing	30	30	$410.00	$80.19
95923 Testing of autonomic (sympathetic) nervous system function	30	30	$410.00	$112.20
82044 Urine microalbumin (protein) analysis	25	21	$10.00	$6.13
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	20	19	$52.00	$32.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes	16	16	$33.00	$16.68
99239 Hospital discharge day management, more than 30 minutes	15	11	$152.00	$97.58
51798 Ultrasound measurement of bladder capacity after voiding	15	15	$125.00	$8.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	11	$99.00	$47.85
93000 Routine ekg using at least 12 leads including interpretation and report	12	11	$75.00	$12.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$265.00	$153.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,093	171	$175.00	$119.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	921	134	$43.00	$37.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	677	61	$147.63	$96.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	155	67	$287.38	$184.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	149	31	$103.00	$66.97
99239 Hospital discharge day management, more than 30 minutes	126	56	$152.00	$98.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$185.00	$118.14
99496 Transitional care management services for problem of high complexity	44	24	$335.00	$255.67
99497 Advance care planning, first 30 minutes	39	36	$121.00	$79.38
81003 Automated urinalysis test	39	35	$10.00	$2.25
G0008 Administration of influenza virus vaccine	28	28	$50.00	$15.27
90756 Vaccine for influenza for injection into muscle	24	24	$35.00	$28.34
83036 Hemoglobin A1C level	23	22	$35.00	$9.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$265.00	$147.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	13	$99.00	$48.13
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$120.00	$83.93
82947 Blood glucose (sugar) level	11	11	$35.00	$3.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,298	165	$43.00	$38.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	628	71	$148.00	$99.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	563	166	$175.00	$99.81
99213 Established patient office or other outpatient visit, typically 15 minutes	462	147	$120.00	$66.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	174	71	$288.00	$192.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	167	39	$103.00	$68.82
99239 Hospital discharge day management, more than 30 minutes	133	63	$152.00	$101.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$185.00	$107.00
99291 Critical care, first 30-74 minutes	89	16	$383.00	$211.70
99443 Telephone medical discussion with physician, 21-30 minutes	72	71	$55.00	$54.18
99496 Transitional care management services for problem of high complexity	55	30	$335.00	$220.14
G0008 Administration of influenza virus vaccine	50	48	$50.00	$15.41
81003 Automated urinalysis test	48	43	$10.00	$2.21
90756 Vaccine for influenza for injection into muscle	43	43	$35.00	$27.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	31	$99.00	$49.07
99497 Advance care planning, first 30 minutes	36	34	$121.00	$80.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	34	18	$40.00	$13.04
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	18	$76.00	$37.39
J0735 Injection, clonidine hydrochloride, 1 mg	23	17	$15.00	$14.84
93922 Ultrasound study of arm and leg arteries	22	20	$175.00	$74.16
G0444 Annual depression screening, 5 to 15 minutes	13	13	$33.00	$16.37
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$75.00	$15.38
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	11	11	$52.00	$33.77
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$265.00	$159.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	967	193	$43.00	$38.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	913	217	$174.92	$100.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	549	130	$148.00	$98.35
99213 Established patient office or other outpatient visit, typically 15 minutes	241	143	$120.00	$68.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	217	79	$103.00	$68.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	209	135	$288.00	$190.65
81003 Automated urinalysis test	129	96	$10.00	$2.44
99291 Critical care, first 30-74 minutes	124	30	$383.00	$210.83
99239 Hospital discharge day management, more than 30 minutes	97	71	$152.00	$99.86
99497 Advance care planning, first 30 minutes	88	85	$121.00	$80.11
93000 Routine ekg using at least 12 leads including interpretation and report	81	65	$75.00	$15.44
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	78	76	$94.00	$80.14
99238 Hospital discharge day management, 30 minutes or less	77	63	$120.00	$68.66
99496 Transitional care management services for problem of high complexity	77	47	$335.00	$213.67
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$185.00	$105.54
G0444 Annual depression screening, 5 to 15 minutes	68	68	$33.00	$16.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	44	$269.00	$135.21
80061 Blood test, lipids (cholesterol and triglycerides)	41	41	$35.00	$14.58
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	34	$99.00	$48.99
84443 Blood test, thyroid stimulating hormone (TSH)	40	38	$35.00	$18.30
G0008 Administration of influenza virus vaccine	40	40	$50.00	$15.14
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	40	$44.34	$17.48
J0735 Injection, clonidine hydrochloride, 1 mg	39	33	$15.00	$13.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	39	39	$35.00	$8.46
83036 Hemoglobin A1C level	38	37	$35.00	$10.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	37	21	$76.00	$37.67
80053 Blood test, comprehensive group of blood chemicals	34	33	$35.00	$11.51
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes	30	29	$52.00	$33.71
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	28	28	$20.00	$13.84
36415 Insertion of needle into vein for collection of blood sample	27	27	$20.00	$2.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	25	$315.00	$143.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	17	$40.00	$15.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	21	$50.00	$16.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	20	19	$30.00	$16.22
99495 Transitional care management services for problem of at least moderate complexity	18	15	$304.00	$151.53
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	18	18	$101.11	$57.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$330.00	$192.29
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	17	16	$39.00	$25.56
80048 Blood test, basic group of blood chemicals (calcium, total)	15	15	$20.00	$9.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$195.00	$129.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	918	127	$147.84	$95.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	891	240	$162.93	$96.29
99238 Hospital discharge day management, 30 minutes or less	249	121	$112.63	$66.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	211	110	$288.00	$185.17
81003 Automated urinalysis test	172	129	$10.00	$2.71
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	155	108	$222.94	$130.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	137	52	$103.00	$66.82
99213 Established patient office or other outpatient visit, typically 15 minutes	130	93	$116.20	$64.70
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	128	99	$20.00	$13.08
99497 Advance care planning, first 30 minutes	128	127	$121.00	$77.28
99291 Critical care, first 30-74 minutes	127	27	$383.00	$203.27
93000 Routine ekg using at least 12 leads including interpretation and report	122	93	$41.33	$14.90
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	70	64	$39.00	$25.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	49	$33.64	$18.00
82570 Creatinine level to test for kidney function or muscle injury	42	33	$20.00	$6.26
80061 Blood test, lipids (cholesterol and triglycerides)	42	41	$30.83	$16.20
G0008 Administration of influenza virus vaccine	34	34	$50.00	$18.50
83036 Hemoglobin A1C level	32	31	$35.00	$11.75
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	24	$99.87	$47.98
99496 Transitional care management services for problem of high complexity	25	20	$329.60	$208.23
80053 Blood test, comprehensive group of blood chemicals	24	24	$35.00	$12.78
80048 Blood test, basic group of blood chemicals (calcium, total)	18	18	$20.00	$10.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$263.25	$146.46
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	14	14	$43.00	$38.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$296.21	$186.62
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	14	14	$47.43	$22.59
G0442 Annual alcohol misuse screening, 5 to 15 minutes	13	13	$33.00	$16.21
99495 Transitional care management services for problem of at least moderate complexity	12	11	$258.50	$146.98
93922 Ultrasound study of arm and leg arteries	11	11	$129.73	$71.23
G0444 Annual depression screening, 5 to 15 minutes	11	11	$31.55	$15.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
95004 Test for allergy using allergenic extract	1,540	20	$13.91	$5.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,154	289	$148.96	$97.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,098	199	$147.46	$97.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	813	132	$103.32	$68.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	357	198	$288.00	$189.31
99213 Established patient office or other outpatient visit, typically 15 minutes	347	187	$101.00	$66.81
99238 Hospital discharge day management, 30 minutes or less	305	160	$103.00	$67.63
81003 Automated urinalysis test	240	158	$6.79	$3.00
99497 Advance care planning, first 30 minutes	142	122	$121.00	$76.34
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	141	113	$20.00	$13.33
99291 Critical care, first 30-74 minutes	113	28	$383.00	$208.81
G0008 Administration of influenza virus vaccine	74	73	$50.00	$22.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	61	$201.00	$133.37
82570 Creatinine level to test for kidney function or muscle injury	65	54	$16.40	$6.96
93000 Routine ekg using at least 12 leads including interpretation and report	63	57	$23.00	$15.28
36415 Insertion of needle into vein for collection of blood sample	54	51	$5.28	$2.94
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	53	53	$35.00	$17.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	33	$200.03	$126.74
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	35	35	$39.00	$25.28
J0735 Injection, clonidine hydrochloride, 1 mg	33	30	$15.00	$13.50
93922 Ultrasound study of arm and leg arteries	33	32	$118.00	$77.81
96160 Administration and interpretation of patient-focused health risk assessment	27	26	$20.00	$3.99
99239 Hospital discharge day management, more than 30 minutes	26	23	$152.00	$100.79
95943 Testing of autonomic (parasympathetic and sympathetic) nervous system function	24	24	$650.00	$84.71
95927 Insertion of needles and skin electrodes for measurement and recording of stimulated sites on the trunk or head	24	24	$450.00	$116.67
80305 Testing for presence of drug, read by direct observation	24	23	$70.00	$11.99
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	21	14	$43.00	$38.92
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	20	19	$50.00	$23.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	19	$34.00	$22.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$229.00	$151.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$287.00	$191.06
80061 Blood test, lipids (cholesterol and triglycerides)	14	14	$29.79	$13.02
94010 Test to measure expiratory airflow and volume	13	13	$48.00	$31.59
99496 Transitional care management services for problem of high complexity	12	11	$320.00	$212.21
83036 Hemoglobin A1C level	12	12	$31.25	$13.05

Medical Specialties & State Licenses

CMS Verified: 2025-10-22

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License AR E-3124

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License AR E3124

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.

Clinic/Center - Urgent Care

NUCC Taxonomy Code: 261QU0200X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

146619001 (AR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Gary Manly , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023013000

Certified Registered Nurse Anesthetist

Dr. Fawad Walajahi , MD

Anesthesiology

NPI 1053316067

Doctor of Medicine (M.D.)

Jonathan Loetscher , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073712782

Certified Registered Nurse Anesthetist

Dr. James Workman , MD

Radiology - Diagnostic Radiology

NPI 1154364545

Doctor of Medicine (M.D.)

Dr. Ferdinand Samuel , MD

Anesthesiology

NPI 1174528186

Doctor of Medicine (M.D.)

Dr. William Lim , MD

Radiology - Diagnostic Radiology

NPI 1174565139

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2025

Surgery (License #E3124 in AR)

✅

NPI Profile Active March 03, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2011

Registered at 1801 W 40TH AVE, SUITE 1C, PINE BLUFF, AR 716036940 (Tel: 8705354141)

📍

Updated Business Mailing Address March 03, 2011

Registered at 1801 W 40TH AVE STE 1C, PINE BLUFF, AR 716036956 (Tel: 8705354141)

👤

Provider Name / Credentials Updated March 03, 2011

Recorded as OLABODE OLUMOFIN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2011

Internal Medicine (License #E-3124 in AR)

🟢

Initial NPI Registration & Enumeration June 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1720025513

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 01, 2006

Last Update: October 22, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1801 W 40th Ave Ste 1c

Pine Bluff, AR 716036956

Phone: 8705354141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.