NPPES file of Aug 9, 2026

Ejiro Vivian Agboro-Idahosa, M.D

Child & Adolescent Psychiatry Physician · Elmira, NY

Ejiro Vivian Agboro-Idahosa, M.D is a child & adolescent psychiatry physician with a practice address in Elmira, New York, and NPI 1104089390, issued on Jul 8, 2008. Check the license (New York 275859, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104089390
Name
Ejiro Vivian Agboro-Idahosa
Credential
M.D
Primary taxonomy
Child & Adolescent Psychiatry Physician 2084P0804X
License numbers
275859 NY
38473 IA
Self-reported in NPPES; status is on the state search
Practice location
555 Saint Josephs Blvd, Elmira, NY 14901
Phone
(607) 737-7002
Enumerated
Jul 8, 2008
Record last updated
Jun 8, 2016 (not updated in 10 years: call before relying on the address or phone)
Fax
(607) 737-1529
Medicaid ID
04061661 NY
Medicare enrollment
Enrolled (PECOS I20150617001896); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 555 Saint Josephs Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. David Bayne, MS SLPSpeech-Language Pathologist1982100186
  2. Hannah Bell, OTR/LOccupational Therapist1972266708
  3. Bhupinder BrarPsychiatry Physician1831383066
  4. Emily Clark, PT,DPTPhysical Medicine & Rehabilitation Physician1245708056
  5. Karen Coulter, OTRPhysical Rehabilitation Occupational Therapist1114268596
  6. Maggie Crupi, PT, DPTPhysical Therapist1841640927

Verify Ejiro Vivian Agboro-Idahosa in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 275859
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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24% more Medicare Part D claims than the average child & adolescent psychiatry physician in 2024

625 Medicare Part D claims for 32 beneficiaries, against an average of 504 among the 3,545 providers of this specialty who prescribed in Part D. Brand-name drugs were 4% of claims.

  1. Ejiro Agboro-Idahosa625
  2. Specialty average504

Most prescribed

  1. Alprazolam55 claims
  2. Bupropion Xl43 claims
  3. Lorazepam35 claims
  4. Buspirone Hcl34 claims
  5. Venlafaxine Hcl Er32 claims
  6. Sertraline Hcl30 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $546.47

25 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 1,578 providers of this specialty with any payment received $1,427.96 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Ejiro Agboro-Idahosa$546.47
  2. Specialty average$1,427.96

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Waverly Medical Associates LLCWaverly, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Ejiro Vivian Agboro-Idahosa among 827 child & adolescent psychiatry physician records in New York

Ejiro Vivian Agboro-Idahosa, M.D is one of 827 child & adolescent psychiatry physician records with a practice address in New York. 57% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 53% of them.

  • NPI issued2008 · 53% of these records are older, 38% newer
  • In a Medicare fileYes · 57% of these records are
  • In the CMS Doctors and Clinicians fileYes · 26% of these records are
  • Graduated1994 · median 2001 among the 213 with a school on file
  • Record last updated2016 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2084P0804X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Child & Adolescent Psychiatry Physician providers in New York

There are 827 child & adolescent psychiatry physician records in New York.

The 8 child & adolescent psychiatry physician records with the nearest ZIP codes

  1. Syed Jaffery, M.DElmira, NY 149011427184829
  2. Alexander Juwah, MDElmira, NY 149011639335714
  3. Laura Dibble, M.D.Ithaca, NY 148501629085048
  4. Auguste Duplan, MDIthaca, NY 148501689649980
  5. Bernard Member, M.D.Ithaca, NY 148501750526570
  6. Eleanor Stein, MDHorseheads, NY 148451780146555
  7. Asli Saba Abaci, M.D.Rochester, NY 146421538100961
  8. Nancy Baehr, MDRochester, NY 146421740368075

Common questions

What is Ejiro Vivian Agboro-Idahosa, M.D's NPI number?

Ejiro Vivian Agboro-Idahosa, M.D's National Provider Identifier (NPI) is 1104089390, issued on Jul 8, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Ejiro Vivian Agboro-Idahosa, M.D located?

The NPPES record lists a practice address at 555 Saint Josephs Blvd, Elmira, NY, 14901. Phone: (607) 737-7002. Providers update this record themselves, so call before visiting.

How can I verify Ejiro Vivian Agboro-Idahosa, M.D's license?

NPPES lists New York license number 275859, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Ejiro Vivian Agboro-Idahosa, M.D prescribe under Medicare Part D?

In 2024, Ejiro Vivian Agboro-Idahosa, M.D had 625 Medicare Part D claims for 32 beneficiaries; the average among child & adolescent psychiatry physician prescribers was 504. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.