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MRS. TAMARA L. OLT M.D.
NPI 1104870708
Obstetrics & Gynecology - Gynecology in Peoria, IL

Active since May 19, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 14D1057611 · Waiver
6915 N KNOXVILLE AVE, PEORIA, IL 61614(309) 692-2805(309) 692-1913 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tamara L. Olt M.d. NPPES

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

MRS. TAMARA L. OLT M.D. (NPI 1104870708) is an individual gynecology provider in Peoria, Illinois, licensed in Illinois (036089480) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 29, 2027, and is affiliated with Saint Francis Medical Center.

NPPES Registry Identity

NPI1104870708
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameMRS. TAMARA L. OLTCredential: M.D.
Location Address6915 N KNOXVILLE AVEPeoria, IL 61614-2850
Mailing Address6915 N Knoxville Ave Ste 1Peoria, IL 61614-2851 · (309) 692-2805 · Fax (309) 692-1913
Phone(309) 692-2805
Fax(309) 692-1913
Sole ProprietorYes
Medical School CMSRush Medical College Of Rush UniversityGraduated 1992
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
✔ NPI 1104870708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 036089480
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 036089480 (IL)
6915 N KNOXVILLE AVE, Peoria, IL 61614
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Other Identifiers 5

OtherIL0101IL · John Deere Health
Other343117IL · Healthlink
OtherP00289284/DE3835IL · Railroad Medicare
Other07232119IL · Bcbs Of Illinois
Medicaid036089480IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tamara L. Olt M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840253175
PECOS Enrollment IDI20041108001147
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1057611

Tamara Olt Sc · Peoria, IL
Active · expires Jul 29, 2027
CLIA Number14D1057611
Laboratory TypePhysician Office
Certificate Effective DateJuly 30, 2025
Certificate Expiration DateJuly 29, 2027
Laboratory DirectorTamara L. Olt
Laboratory Phone(309) 692-2805
Laboratory LocationTamara Olt Sc6915 N Knoxville Ave - Ste 1, Peoria, IL 61614
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

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 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.
91 services50 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
86 services86 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.
26 services26 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
18 services16 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Other Providers at the Same Location NPPES 4

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

LEE OBSTETRICS AND GYNECOLOGY, S.C.
Obstetrics & Gynecology
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 691-1259
KENNTH ALAN HODEL MD
Obstetrics & Gynecology (Gynecologic Oncology)
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 683-8910
DR. ROBERT ALAN WESTEFER M.D.
Obstetrics & Gynecology
6915 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 691-1259
KEN HODEL M D GYNONC S C
Specialist
6915 N KNOXVILLE AVE, STE 1
PEORIA, IL 61614
Peoria County (309) 683-8910

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 Tamara Olt's NPI number?

The NPI number for Tamara Olt is 1104870708. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Tamara Olt located?

Tamara Olt practices at 6915 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 692-2805.

What is Tamara Olt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Tamara Olt enrolled in Medicare?

Yes. Tamara Olt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Tamara Olt hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1057611) is associated with this NPI, valid through July 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Tamara Olt affiliated with any hospitals?

According to CMS data, Tamara Olt is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Tamara Olt was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.