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DR. ALEXANDROS GEORGOLIOS MD
NPI 1053571794
Otolaryngology in Poplar Bluff, MO

Active since June 16, 2008PECOS Enrolled
92.94/100
CMS Quality Rating
3100 OAK GROVE RD, POPLAR BLUFF, MO 63901(573) 778-2600 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Alexandros Georgolios Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDROS GEORGOLIOS MD (NPI 1053571794) is an individual otolaryngology provider in Poplar Bluff, Missouri, licensed in Missouri (2013045551) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1053571794
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ALEXANDROS GEORGOLIOSCredential: MD
Location Address3100 OAK GROVE RDPoplar Bluff, MO 63901-1573
Mailing Address79 Venizelou StreetHolargos, ATTIKI 15561 · 012106545443
Phone(573) 778-2600
Sole ProprietorNo
Enumeration DateJune 16, 2008
Last NPPES UpdateJanuary 16, 2025
NPPES CertifiedJanuary 16, 2025
✔ NPI 1053571794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MO · 2013045551✔ Licensed in KY · TP526
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3100 OAK GROVE RD, Poplar Bluff, MO 63901
Open in Google Maps ↗

Secondary Practice Locations 3

Location 179 Venizelou streetHolargos, Attiki 15561 · Phone 012106545443
Location 23098 Oak Grove RdPoplar Bluff, MO 63901-8938 · Phone (573) 778-2600
Location 31000 Breckenridge St Ste 303Owensboro, KY 42303-0877 · Phone (270) 688-2720 · Fax (270) 688-2729

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexandros Georgolios Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Alexandros Georgolios reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Poplar Bluff Hma Physician Management, LLC
Same address
Family Medicine
3098 OAK GROVE RD
Poplar Bluff, MO 63901
  • Reassigned Medicare billing, Missouri enrollment
  • 89 clinicians in this Medicare group
NPI 1598710147 (573) 776-2835
Owensboro Health Medical Group Inc
161 mi
Nurse Practitioner
1871 US HIGHWAY 41A S
Dixon, KY 42409
  • Reassigned Medicare billing, Kentucky enrollment
  • 643 clinicians in this Medicare group
NPI 1649652249 (270) 639-9440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services57 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
43 services40 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
41 services36 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
33 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA RYAN MORSE
Nurse Anesthetist, Certified Registered
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
HANUMANTH K REDDY M.D
Internal Medicine (Interventional Cardiology)
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2600
POPLAR BLUFF REGIONAL MEDICAL CENTER
Clinical Medical Laboratory
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 686-5311
MATTHEW GENE PULLEY NP
Nurse Practitioner
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
DANIELLE NICHOLE FARMER OTR/L
Occupational Therapist
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
SILVIA PAGOADA VALLECILLO M.D.
Family Medicine
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000
DEREK WAYNE GRUBBS DO
Student in an Organized Health Care Education/Training Program
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-9752
SEHRISH KHAN MD
Internal Medicine
3100 OAK GROVE RD
POPLAR BLUFF, MO 63901
Butler County (573) 776-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandros Georgolios's NPI number?

The NPI number for Alexandros Georgolios is 1053571794. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Alexandros Georgolios located?

Alexandros Georgolios practices at 3100 Oak Grove Rd, Poplar Bluff, MO 63901. The listed phone number is (573) 778-2600.

What is Alexandros Georgolios's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alexandros Georgolios enrolled in Medicare?

Yes. Alexandros Georgolios is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alexandros Georgolios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandros Georgolios reassigns Medicare benefits to 2 organizations: Poplar Bluff Hma Physician Management, LLC (Poplar Bluff, MO) and Owensboro Health Medical Group Inc (Dixon, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alexandros Georgolios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandros Georgolios accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Alexandros Georgolios as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alexandros Georgolios was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.