Doctor profile · Federal record
Dr. Ejiro Agboro-Idahosa, M.D
Child & Adolescent Psychiatry Physician (CMS: Psychiatry) · Psychiatry Physician · Psychiatry Physician · Elmira, NY
- NPI 1104089390
- Accepts Medicare
- 32 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
555 Saint Josephs Blvd
Elmira, NY 149013223
(607) 737-7002
fax (607) 737-1529 - Mailing address
-
571 Saint Josephs Blvd Fl 2
Elmira, NY 149013230
Credentials & registration
- NPI registered
- July 2008 — 18 yrs on file
- Profile last updated
- June 8, 2016
- Year of graduation
- 1994 — 32 yrs since
- Specialty taxonomy
- 2084P0804X — NUCC code
- State licenses (2)
- Iowa #38473 · New York #275859
- Medicaid
- NY #04061661
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104089390. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
54
Distinct HCPCS
2
Medicare allowed
$7,670
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
90838 |
Psychotherapy with evaluation and management visit, 1 hour | 27 | 12 | $112 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 27 | 12 | $172 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 206. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$546
Transactions
25
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ABBVIE INC. | 25 | $546.47 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
435
Patients
0
Total drug cost
$6,596
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Sertraline Hcl | Generic | 58 | 0 | $532 |
| Alprazolam | Generic | 47 | 0 | $232 |
| Buspirone Hcl | Generic | 36 | 0 | $1,213 |
| Bupropion Xl (Bupropion Hcl) | Brand | 34 | 0 | $930 |
| Trazodone Hcl | Generic | 34 | 0 | $326 |
| Clonazepam | Generic | 33 | 0 | $127 |
| Fluoxetine Hcl | Generic | 25 | 0 | $236 |
| Venlafaxine Hcl Er (Venlafaxine Hcl) | Brand | 24 | 0 | $457 |
| Diazepam | Generic | 23 | 0 | $146 |
| Lorazepam | Generic | 23 | 0 | $135 |
Frequently asked questions
What is Dr. Ejiro Agboro-Idahosa's medical specialty?
Dr. Ejiro Agboro-Idahosa practices Child & Adolescent Psychiatry Physician in Elmira, NY.
Where does Dr. Ejiro Agboro-Idahosa practice?
Dr. Ejiro Agboro-Idahosa practices at 555 Saint Josephs Blvd, Elmira, NY 149013223. Office phone: 6077377002.
What is Dr. Ejiro Agboro-Idahosa's NPI?
Dr. Ejiro Agboro-Idahosa's National Provider Identifier (NPI) is 1104089390, issued by NPPES.
Does Dr. Ejiro Agboro-Idahosa accept Medicare assignment?
Yes. Dr. Ejiro Agboro-Idahosa accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ejiro Agboro-Idahosa commonly perform?
Top Medicare-reported procedures in 2023: Psychotherapy with evaluation and management visit (HCPCS 90838); Established patient office or other outpatient visit (HCPCS 99215). Source: CMS Medicare Physician & Other Practitioners file.