1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Family Medicine
  6. NPI Profile

MISS DETTLEFF ELMER OLSON D.O.
NPI 1497868475
Family Medicine in Dayton, OH

Active since August 16, 2006PECOS Enrolled
4100 W 3RD ST, DAYTON, OH 45428(765) 973-6915 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Dettleff Elmer Olson D.o. NPPES

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

MISS DETTLEFF ELMER OLSON D.O. (NPI 1497868475) is an individual family medicine provider in Dayton, Ohio, licensed in Ohio (34-005936) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497868475
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMISS DETTLEFF ELMER OLSONCredential: D.O.
Location Address4100 W 3RD STDayton, OH 45428-9000
Mailing Address405 Valleyview DrEnglewood, OH 45322-1313 · (937) 836-5597
Phone(765) 973-6915
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1497868475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34-005936
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4100 W 3RD ST, Dayton, OH 45428
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING56687OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Dettleff Elmer Olson D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45428 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$184.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. AMY JOANN MCMULLEN
Radiologic Technologist (Nuclear Medicine Technology)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
MRS. JAIMIE LYNN FRAZIER PT, DPT
Physical Therapist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
KATHLEEN A. ROWELL PA-C
Physician Assistant (Medical)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
DR. DOUGLAS EDWARD PAULL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 262-2150
LOUIS LONG CTRS
Recreation Therapist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
JASON ANDRUS
Optometrist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
KATHLEEN AVILA-JOHN LPMT
Music Therapist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
CESAR JUAN ROMAN DPM
Podiatrist (Foot & Ankle Surgery)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511

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 Dettleff Olson's NPI number?

The NPI number for Dettleff Olson is 1497868475. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Dettleff Olson located?

Dettleff Olson practices at 4100 W 3rd St, Dayton, OH 45428. The listed phone number is (765) 973-6915.

What is Dettleff Olson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dettleff Olson enrolled in Medicare?

Yes. Dettleff Olson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dettleff Olson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.