OGORCHUKWU FAITH OMEDE MD
NPI 1205325800
Internal Medicine - Addiction Medicine in Boston, MA


Quality Rating: 95.62 out of 100 score

NPI Status: Active since May 09, 2018

Contact Information

MASSACHUSETTS GENERAL HOSPITAL
AUSTEN 8, SUDS INITIATIVE
BOSTON, MA
ZIP 02114
Phone: (617) 726-7621

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  • Individual
  • Male
  • Years of Experience 10
  • Internal Medicine
  • Addiction Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About OGORCHUKWU OMEDE

This page provides the complete NPI Profile along with additional information for Ogorchukwu Omede, an internist established in Boston, Massachusetts with a medical specialization in Internal Medicine, focusing in addiction medicine and more than 10 years of experience. The healthcare provider is registered in the NPI registry with number 1205325800 assigned on May 2018. The practitioner's primary taxonomy code is 207RA0401X with license number 286986 (MA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI
1205325800
Provider Name
OGORCHUKWU FAITH OMEDE MD
Gender
Male
Entity Type
Individual
Location Address
MASSACHUSETTS GENERAL HOSPITAL AUSTEN 8, SUDS INITIATIVE BOSTON, MA 02114
Location Phone
(617) 726-7621
Mailing Address
21 REVERE BEACH BLVD APT 418R REVERE, MA 02151
Mailing Phone
(816) 739-1967
Medical School Name
OTHER
Graduation Year
2016
Is Sole Proprietor?
Yes
Enumeration Date
05-09-2018
Last Update Date
03-14-2022
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An internist like Ogorchukwu Omede is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Secondary Locations

  • 331 Highland Ave
    Salem, MA 01970
    (978) 745-1200

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Addiction Medicine

Taxonomy Code
207RA0401X
Type
Allopathic & Osteopathic Physicians
License No.
286986
License State
MA
Taxonomy Description
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value - HMO
  • Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA - HMO
  • Anthem Bronze Access Blue New England HMO 8500/50%/9200 - HMO
  • Anthem Gold Access Blue New England HMO 1000/20%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 2000/10%/7500 - HMO
  • Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA - HMO
  • Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD - HMO
  • Anthem Gold Access Blue New England HMO 500/25%/7000 - HMO
  • Anthem Platinum Access Blue New England HMO 250/10%/3500 - HMO
  • Anthem Silver Access Blue New England HMO 2000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3000/20%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 3000/30%/9000 Value - HMO
  • Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 - HMO
  • Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD - HMO
  • Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ogorchukwu Omede is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Ogorchukwu Omede is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779831490

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20220818002659

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 25 times for 25 patients

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 34 times for 29 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 50 times for 44 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 24 times for 24 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $36.02 for a new patient copayment and $27.79 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 02114 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $144.11
  • Minimum New Patient Price $63.72
  • Maximum New Patient Price $189.86
  • Average New Patient Copayment $36.02
  • Minimum New Patient Copayment $15.93
  • Maximum New Patient Copayment $47.46

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $111.18
  • Minimum Established Patient Price $21.07
  • Maximum Established Patient Price $155.29
  • Average Established Patient Copayment $27.79
  • Minimum Established Patient Copayment $5.26
  • Maximum Established Patient Copayment $38.82

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 95.62, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 95.62 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 80.86

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ogorchukwu Omede is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
NORTH SHORE MEDICAL CENTER -81 HIGHLAND AVENUE
SALEM, MA 01970
(978) 741-1215Acute Care Hospitals
MASSACHUSETTS GENERAL HOSPITAL55 FRUIT STREET
BOSTON, MA 02114
(617) 724-9725Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205325800
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2205621080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 2 + 1 + 0 + 8 + 0 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1205325800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033197116 DANIEL J COSTELLO M.D.
Individual
Psychiatry & Neurology (Neurology)MASSACHUSETTS GENERAL HOSPITAL WACC 835, 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2000
1063470458 HOLLY R KHACHADOORIAN-ELIA M.D.
Individual
Obstetrics & GynecologyMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET - FOUNDERS 4
BOSTON, MA 02114
(617) 724-2640
1447280367DR. SONITA MARIE SADIO MD
Individual
UrologyMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET GRB 1102
BOSTON, MA 02114
(617) 726-2066
1043244700 CESAR F GONZALEZ SALADIN M.D.
Individual
Radiology (Diagnostic Radiology)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-8396
1336173087DR. CHARLES C HARDIN M.D.,PH.D
Individual
Internal MedicineMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2000
1912932971 EMILY M HAYDEN M.D.
Individual
Emergency MedicineMASSACHUSETTS GENERAL HOSPITAL FIVE EMERSON PLACE, SUITE 170
BOSTON, MA 02114
(617) 726-2000
1861417560 ANDREW S LITEPLO M.D.
Individual
Emergency MedicineMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2000
1619084209 JAMES L LADNER M.D.
Individual
AnesthesiologyMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-8392
1558479873 NASSER I KHAN M.D.
Individual
Internal MedicineMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2375
1245335637 NELLY PITTELOUD M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST. REV.BHE 5
BOSTON, MA 02114
(617) 724-1830
1881793172 ABRAHAM M LIBERMAN M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2806
1093890196 ROBERT N PECK M.D.
Individual
Internal MedicineMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET/PEDIATRICS
BOSTON, MA 02114
(617) 304-6375
1982777132 DAVID R KAUFMAN M.D.
Individual
Internal Medicine (Infectious Disease)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST., COX-5
BOSTON, MA 02114
(617) 726-3906
1427121672 MARWAN M REFAAT M.D.
Individual
Internal MedicineMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2000
1639242860 ERIC C MATTEN M.D.
Individual
AnesthesiologyMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-3030
1922155381 DIETER MANSTEIN MD
Individual
DermatologyMASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-4893
1235287905MR. STANLEY WASSERMAN PHYSICIAN ASSISTANT
Individual
Physician Assistant (Surgical)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET, BULFINCH 119
BOSTON, MA 02114
(617) 726-1861
1285784488 ARULNMOZHY THANGAROOPAN M.D.
Individual
Radiology (Diagnostic Radiology)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-5954
1932234101 NANCY GOODE PT, DPT, MS
Individual
Physical TherapistMASSACHUSETTS GENERAL HOSPITAL 15 PARKMAN ST WACC 134
BOSTON, MA 02114
(617) 724-8579
1750417515 OLGA KULINETS KOLMAN MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT STREET
BOSTON, MA 02114
(617) 726-2967

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205325800, enumerated in the NPI registry as an "individual" on May 09, 2018

The provider is located at Massachusetts General Hospital Austen 8, Suds Initiative Boston, Ma 02114 and the phone number is (617) 726-7621

The provider's speciality is Internal Medicine with taxonomy code 207RA0401X with a focus in Addiction Medicine

The provider has more than 10 years of experience.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $144.11 with an average copayment of $36.02 for new patient appointments. Established patients should expect a typical charge of $111.18 and an average copayment of 27.79. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Influenza vaccine split virus, preservative free.

The practitioner is affiliated to the following hospital(s): NORTH SHORE MEDICAL CENTER - and MASSACHUSETTS GENERAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on May 09, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.