STEPAN OLIVA MD
NPI 1316019334
Dermatology in Winter Haven, FL

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
98.27/100
CMS Quality Rating
560 AVENUE K SE, WINTER HAVEN, FL 33880(863) 299-3376 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stepan Oliva Md NPPES

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

STEPAN OLIVA MD (NPI 1316019334) is an individual dermatology provider in Winter Haven, Florida, licensed in Florida (ME75639) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (1994).

NPPES Registry Identity

NPI1316019334
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameSTEPAN OLIVACredential: MD
Location Address560 AVENUE K SEWinter Haven, FL 33880-4203
Mailing Address560 Avenue K SeWinter Haven, FL 33880-4203 · (863) 299-3376
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 1994
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 29, 2009
NPI 1316019334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · ME75639
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
560 AVENUE K SE, Winter Haven, FL 33880

Other Identifiers 4

OtherP00397643FL · Railroad Medicare
Medicare PIN43555YFL
Other43555FL · Blue Cross Blue Shield Of Florida
Other20-5821881FL · Ein

Accepted Insurance

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

Stepan Oliva Md 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 ID9436189271
PECOS Enrollment IDI20050822000260
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.

Areas of Expertise CMS Part B claims 22

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
3,180 services654 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.
1,642 services1,018 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,396 services859 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
344 services270 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
252 services170 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
126 services106 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33880 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

98.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.54
Improvement Activities40

Reported Quality Measures

Advance Care Plan
98%1,579 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%31 patients
Melanoma: Coordination of Care
100%22 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 850 patients
Patients screened: 100% · 850 patients
100%28 patients5/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
64%28 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Ophthalmology
560 AVENUE K SE
WINTER HAVEN, FL 33880
Dermatology
560 AVENUE K SE
WINTER HAVEN, FL 33880
Physician Assistant (Medical)
560 AVENUE K SE
WINTER HAVEN, FL 33880

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 Stepan Oliva's NPI number?

The NPI number for Stepan Oliva is 1316019334. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Stepan Oliva located?

Stepan Oliva practices at 560 Avenue K SE, Winter Haven, FL 33880. The listed phone number is (863) 299-3376.

What is Stepan Oliva's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Stepan Oliva enrolled in Medicare?

Yes. Stepan Oliva 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.

What insurance does Stepan Oliva accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Stepan Oliva 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 Stepan Oliva was last updated on July 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.