Doctor profile · Federal record
Dr. OMOWUNMI AJIBOLA, MD
Vascular & Interventional Radiology Physician (CMS: INTERVENTIONAL RADIOLOGY) · Diagnostic Radiology Physician · Diagnostic Radiology Physician · SALT LAKE CITY, UT
- NPI 1699157396
- Accepts Medicare
- MIPS 83.0 / 100 · 2023
- 11 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
30 N 1900 E RM 1A071
SALT LAKE CITY, UT 841320002
(801) 581-2868 - Additional location
-
471 E Broad St Ste 1400
Columbus, OH 432153806
(614) 221-1399 - Mailing address
-
471 E BROAD ST STE 1400
COLUMBUS, OH 432153806
Credentials & registration
- NPI registered
- June 2015 — 11 yrs on file
- Profile last updated
- October 28, 2021
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 2085R0204X — NUCC code
- State licenses (2)
- Ohio #35.141903 · Utah #11741847-1205
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1699157396. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
742
Distinct HCPCS
10
Medicare allowed
$24,492
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71046 |
X-ray of chest, 2 views | 195 | 193 | $10 | |
71045 |
X-ray of chest, 1 view | 93 | 91 | $8 | |
71250 |
Ct scan of chest without contrast | 45 | 44 | $50 | |
99152 |
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 38 | 38 | $12 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 37 | 37 | $84 | |
71275 |
Ct scan of blood vessels of chest with contrast | 34 | 34 | $84 | |
70450 |
Ct scan head or brain without contrast | 32 | 32 | $39 | |
74018 |
X-ray of abdomen, 1 view | 29 | 28 | $8 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 27 | 27 | $81 | |
77012 |
Review by radiologist of ct guidance for needle placement | 24 | 24 | $66 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 34. This provider delivers 22× the peer median.Open Payments
Industry payments received
All-time total
$181
Transactions
3
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, Inc. | 2 | $157.78 | |
| Biosense Webster, Inc. | 1 | $23.38 |