Doctor profile · Federal record
Dr. Ebenezer Odoom, MD
Geriatric Medicine (Internal Medicine) Physician (CMS: Internal Medicine) · Queens Village, NY
- NPI 1154416691
- Accepts Medicare
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
21530 Hillside Ave
Queens Village, NY 114271831
(718) 740-1701
fax (718) 740-1901 - Mailing address
-
1010 Northern Blvd Ste 328
Great Neck, NY 110215329
Credentials & registration
- NPI registered
- October 2006 — 20 yrs on file
- Profile last updated
- October 23, 2024
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 207RG0300X — NUCC code
- State license (1)
- New York #230787
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154416691. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
459
Distinct HCPCS
4
Medicare allowed
$35,526
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 254 | 83 | $106 | |
36415 |
Insertion of needle into vein for collection of blood sample | 101 | 74 | $8 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 60 | 56 | $17 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 44 | 44 | $152 |
In context: peer comparison
Among 1 peers in Queens Village Geriatric Medicine (Internal Medicine) Physician, average services per provider: 114. This provider delivers 4.0× the peer median.Open Payments
Industry payments received
All-time total
$868
Transactions
37
Manufacturers
12
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk INC | 12 | $275.55 | |
| Lilly USA, LLC | 8 | $231.87 | |
| AstraZeneca Pharmaceuticals Lp | 6 | $126.08 | |
| Amgen INC. | 2 | $41.90 | |
| Exact Sciences Corporation | 2 | $37.03 | |
| Shield Therapeutics INC | 1 | $26.21 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $24.92 | |
| Phathom Pharmaceuticals, INC. | 1 | $24.00 | |
| Abbott Laboratories | 1 | $22.33 | |
| Pfizer INC. | 1 | $21.93 | |
| Astellas Pharma US INC | 1 | $18.41 | |
| Janssen Pharmaceuticals, INC | 1 | $17.94 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,238
Patients
732
Total drug cost
$32,305
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 404 | 119 | $4,032 |
| Metformin Hcl | Generic | 197 | 47 | $2,186 |
| Pravastatin Sodium | Generic | 177 | 53 | $3,559 |
| Atorvastatin Calcium | Generic | 156 | 49 | $2,194 |
| Vitamin D2 (Ergocalciferol (Vitamin D2)) | Brand | 153 | 80 | $780 |
| Carvedilol | Generic | 141 | 44 | $1,989 |
| Fluticasone Propionate | Generic | 128 | 63 | $1,656 |
| Losartan Potassium | Generic | 126 | 41 | $1,969 |
| Gabapentin | Generic | 123 | 37 | $2,601 |
| Simvastatin | Generic | 114 | 30 | $1,589 |
Frequently asked questions
What is Dr. Ebenezer Odoom's medical specialty?
Dr. Ebenezer Odoom practices Geriatric Medicine (Internal Medicine) Physician in Queens Village, NY.
Where does Dr. Ebenezer Odoom practice?
Dr. Ebenezer Odoom practices at 21530 Hillside Ave, Queens Village, NY 114271831. Office phone: 7187401701.
What is Dr. Ebenezer Odoom's NPI?
Dr. Ebenezer Odoom's National Provider Identifier (NPI) is 1154416691, issued by NPPES.
Does Dr. Ebenezer Odoom accept Medicare assignment?
Yes. Dr. Ebenezer Odoom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Ebenezer Odoom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000). Source: CMS Medicare Physician & Other Practitioners file.