Deactivated NPI 1487651717 Deactivated / Inactive NPI Male Practitioner

Dr. Oluyemisi R. Sangodeyi , MD

Surgery • Beckley, WV

✓ Accepts Medicare Assignment Telehealth Available

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Oluyemisi Sangodeyi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2005

NPI Deactivation Date March 20, 2006

Total Practice Duration ~34 Years of Practice (1972 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Oluyemisi Sangodeyi, MD was a registered Surgery practicing in Beckley, WV. Throughout an active medical career spanning 34 years, Dr. Sangodeyi provided care at the practice location at 1902 HARPER RD STE ABC until profile deactivation on 2006-03-20.

Dr. Sangodeyi was affiliated with Med Surg Physician Group, Inc and accepted Medicare assignment . Telehealth and virtual consultation options were offered for eligible patients.

Historical Medicare Part B clinical services included subsequent hospital care with moderate levelof medical decision making, if using time, at least, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1902 Harper Rd Ste Abc

Beckley, WV 258012642

Telephone 3042533000

Fax 3042557884

Associated Practice Facility / Clinic

🏢 Med Surg Physician Group, Inc. Facility NPI 1063943678

Medicare Profile & Education

Medical School

Other

Graduation Year

1972

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Beckley, WV

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

54 Yrs +26.5 yrs vs City Avg

City Avg: 27.5 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

22 Specialists

Practicing in Beckley, WV (221 Statewide)

Telehealth Adoption Rate

4.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sangodeyi (54 Years) 54 Yrs

Beckley Specialty Average (27.5 Years) 27.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	387	101	$147.00	$74.27
99213 Established patient office or other outpatient visit, typically 15 minutes	162	41	$166.00	$62.22
11042 Removal of skin and tissue, 20.0 sq cm or less	150	46	$231.00	$57.29
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	92	$321.00	$160.19
99213 Established patient office or other outpatient visit, typically 15 minutes	97	50	$166.00	$83.95
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	37	15	$74.00	$24.46
90832 Psychotherapy, 30 minutes	37	11	$190.00	$50.82
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	23	$220.00	$108.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	23	$235.00	$116.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$308.00	$127.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$103.00	$33.66
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	$96.78	$49.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	331	89	$212.00	$77.36
99213 Established patient office or other outpatient visit, typically 15 minutes	141	53	$205.00	$82.72
99213 Established patient office or other outpatient visit, typically 15 minutes	126	35	$205.00	$61.28
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	89	74	$600.00	$169.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	36	$301.00	$115.85
11042 Removal of skin and tissue, 20.0 sq cm or less	80	35	$319.00	$54.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	29	20	$307.00	$116.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$469.00	$130.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	13	$120.00	$30.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$469.00	$159.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	242	66	$212.00	$68.47
99213 Established patient office or other outpatient visit, typically 15 minutes	141	35	$205.00	$64.90
99213 Established patient office or other outpatient visit, typically 15 minutes	141	52	$205.00	$74.71
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	133	18	$118.00	$26.12
11042 Removal of skin and tissue, 20.0 sq cm or less	127	42	$319.00	$57.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	77	$600.00	$190.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	48	24	$307.00	$98.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	29	$301.00	$112.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$469.00	$131.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$120.00	$35.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$301.00	$94.74
11042 Removal of skin and tissue, 20.0 sq cm or less	13	11	$319.00	$119.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	330	63	$205.00	$79.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	205	58	$211.34	$69.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	170	65	$307.00	$100.28
99213 Established patient office or other outpatient visit, typically 15 minutes	153	47	$205.00	$65.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	123	95	$600.00	$194.46
11042 Removal of skin and tissue, 20.0 sq cm or less	119	42	$319.00	$58.66
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	48	12	$122.19	$26.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	32	$301.00	$119.69
90832 Psychotherapy, 30 minutes	47	12	$190.00	$51.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$120.00	$35.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$469.00	$160.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$469.00	$133.69
Q3014 Telehealth originating site facility fee	18	13	$50.00	$27.02
76937 Ultrasonic guidance for blood vessel access	16	14	$88.00	$13.11
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	12	$41.00	$14.02
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	13	$100.00	$49.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	310	83	$141.00	$67.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	287	82	$144.00	$70.93
99213 Established patient office or other outpatient visit, typically 15 minutes	239	44	$141.00	$50.80
90832 Psychotherapy, 30 minutes	199	22	$134.00	$49.90
Q3014 Telehealth originating site facility fee	179	29	$50.00	$26.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	142	106	$401.00	$192.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	139	61	$206.00	$102.70
11042 Removal of skin and tissue, 20.0 sq cm or less	136	44	$228.00	$60.24
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	105	18	$82.40	$27.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	35	$208.00	$99.11
90834 Psychotherapy, 45 minutes	30	14	$179.00	$69.12
99239 Hospital discharge day management, more than 30 minutes	29	26	$210.00	$104.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$318.00	$124.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$85.00	$24.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$318.00	$153.50
76937 Ultrasonic guidance for blood vessel access	13	13	$29.00	$14.40
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	11	11	$101.00	$50.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	399	127	$147.24	$70.92
99213 Established patient office or other outpatient visit, typically 15 minutes	350	109	$144.29	$69.85
90832 Psychotherapy, 30 minutes	286	34	$137.92	$50.08
99213 Established patient office or other outpatient visit, typically 15 minutes	191	45	$143.01	$50.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	177	149	$409.99	$195.79
11042 Removal of skin and tissue, 20.0 sq cm or less	148	48	$233.23	$60.44
90834 Psychotherapy, 45 minutes	109	31	$179.00	$66.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	55	$213.60	$101.02
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	75	16	$90.21	$27.05
81025 Urine pregnancy test	52	12	$30.00	$8.44
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	42	27	$206.00	$101.99
99239 Hospital discharge day management, more than 30 minutes	26	23	$213.85	$99.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$323.81	$152.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$88.18	$25.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$318.00	$126.98
76937 Ultrasonic guidance for blood vessel access	16	15	$36.38	$14.39
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	15	14	$428.93	$86.96
99238 Hospital discharge day management, 30 minutes or less	12	12	$143.00	$70.93
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	12	12	$101.00	$50.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	672	119	$204.62	$68.52
90834 Psychotherapy, 45 minutes	243	29	$200.00	$64.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	240	82	$212.00	$70.67
81025 Urine pregnancy test	194	15	$30.00	$8.44
90832 Psychotherapy, 30 minutes	186	32	$190.00	$48.20
99213 Established patient office or other outpatient visit, typically 15 minutes	166	39	$205.00	$50.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	87	$301.00	$101.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	154	126	$598.71	$195.08
99231 Follow-up hospital inpatient care per day, typically 15 minutes	145	45	$115.00	$38.48
11042 Removal of skin and tissue, 20.0 sq cm or less	136	35	$318.33	$60.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	85	13	$118.00	$26.87
99183 Management and supervision of oxygen chamber therapy per session	57	11	$300.00	$110.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	27	$120.00	$24.94
99239 Hospital discharge day management, more than 30 minutes	39	37	$310.00	$100.22
80305 Testing for presence of drug, read by direct observation	32	28	$38.00	$13.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$469.00	$152.59
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	19	$656.00	$97.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	15	$307.00	$101.95
76937 Ultrasonic guidance for blood vessel access	17	17	$88.00	$14.28
47562 Removal of gallbladder using an endoscope	16	16	$1997.00	$677.51
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	14	$41.00	$13.92
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	14	14	$100.00	$50.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	691	124	$189.56	$67.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	295	93	$212.00	$69.78
G0483 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	185	22	$260.00	$248.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	82	$287.20	$100.05
99183 Management and supervision of oxygen chamber therapy per session	145	21	$300.00	$109.11
90834 Psychotherapy, 45 minutes	124	29	$233.15	$62.01
99213 Established patient office or other outpatient visit, typically 15 minutes	118	35	$205.00	$49.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	95	$599.11	$196.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	96	40	$115.00	$38.19
11042 Removal of skin and tissue, 20.0 sq cm or less	63	24	$319.00	$60.21
90832 Psychotherapy, 30 minutes	61	16	$182.79	$46.30
99239 Hospital discharge day management, more than 30 minutes	38	34	$310.00	$102.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	15	$120.00	$24.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$120.00	$39.83
36556 Insertion of non-tunneled central venous tube for infusion (5 years or older)	19	18	$656.00	$122.12
76937 Ultrasonic guidance for blood vessel access	18	17	$88.00	$14.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	13	$307.00	$101.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$291.69	$100.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$469.00	$154.10

Medical Specialties & State Licenses

CMS Verified: 2023-10-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WV 21942

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.

General Practice

NUCC Taxonomy Code: 208D00000X

State License WV 21942

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3810016416 (WV)

Hospital & Practice Group Affiliations

Med Surg Physician Group, Inc

1902 Harper Rd, Beckley, WV 258012642

Phone: 3042533000

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Ahmad Eter , MD

Internal Medicine - Nephrology

NPI 1003127432

Doctor of Medicine (M.D.)

Donna Miller , MS

Social Worker

NPI 1073071627

Master of Science

Connie Green , CFNP

Nurse Practitioner - Family

NPI 1083604441

Kelly Matherly , APRN, FNP-BC

Nurse Practitioner - Family

NPI 1164822987

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Dr. Richard Wisman , MD

Family Medicine

NPI 1265475826

Doctor of Medicine (M.D.)

Dr. Barry Levin , MD

Orthopaedic Surgery

NPI 1427086727

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location October 12, 2023

Registered at 1902 HARPER RD STE ABC, BECKLEY, WV 258012642 (Tel: 3042533000)

📍

Updated Business Mailing Address October 12, 2023

Registered at 1902 HARPER RD STE ABC, BECKLEY, WV 258012642 (Tel: 3042533000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2023

General Practice (License #21942 in WV)

📍

Updated Practice Location January 28, 2018

Registered at 379 STANAFORD RD, BECKLEY, WV 258013141 (Tel: 3042533000)

📍

Updated Business Mailing Address January 28, 2018

Registered at 379 STANAFORD RD, BECKLEY, WV 258013141 (Tel: 3042533000)

👤

Provider Name / Credentials Updated January 28, 2018

Recorded as OLUYEMISI SANGODEYI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2018

General Practice (License #21942 in WV)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2018

Surgery (License #21942 in WV)

📍

Updated Practice Location October 12, 2011

Registered at 502 MAIN ST W, OAK HILL, WV 259013416 (Tel: 3044651030)

📍

Updated Business Mailing Address October 12, 2011

Registered at 502 MAIN ST W, OAK HILL, WV 259013416 (Tel: 3044651030)

👤

Provider Name / Credentials Updated October 12, 2011

Recorded as OLUYEMISI SANGODEYI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2011

Specialist (License #MD036087L in PA)

🔄

NPI Profile Reactivated April 05, 2006

Record officially reactivated for active practice on April 05, 2006

⚠️

NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢

Initial NPI Registration & Enumeration July 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487651717

Entity Type:

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

Enumeration Date: July 01, 2005

Last Update: October 12, 2023

Deactivation Date: March 20, 2006

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1902 Harper Rd Ste Abc

Beckley, WV 258012642

Phone: 3042533000

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.