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 this city , 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 |