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OLIVIA AMANDA PIEROG MD
NPI 1760976138
Student in an Organized Health Care Education/Training Program in Tarpon Springs, FL

Active since June 19, 2018PECOS Enrolled
1259 S PINELLAS AVE, TARPON SPRINGS, FL 34689(727) 938-1908(727) 938-8693 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2025, Mar 3, 2025, Jun 19, 2018 (3 updates tracked since 2018).

About Olivia Amanda Pierog Md NPPES

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

OLIVIA AMANDA PIEROG MD (NPI 1760976138) is an individual student in an organized health care education/training program in Tarpon Springs, Florida and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1760976138
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameOLIVIA AMANDA PIEROGCredential: MD
Location Address1259 S PINELLAS AVETarpon Springs, FL 34689-3719
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-2704 · Fax (410) 500-4266
Phone(727) 938-1908
Fax(727) 938-8693
Sole ProprietorNo
Enumeration DateJune 19, 2018
Last NPPES UpdateJune 6, 20253 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
✔ NPI 1760976138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License ME168639 (FL), 4301503007 (MI)
1259 S PINELLAS AVE, Tarpon Springs, FL 34689
Open in Google Maps ↗

Secondary Practice Location 1

Location 11800 Orleans StBaltimore, MD 21287-0010 · Phone (410) 502-2037 · Fax (410) 955-0737

Other Identifiers 1

Other45-0817179MI · Commercial

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Olivia Amanda Pierog 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 Reassignment

Medicare enrollment records show Olivia Pierog reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
797 mi
Diagnostic Radiology
11335 PEMBROOKE SQ STE 101
Waldorf, MD 20603
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 2,618 clinicians in this Medicare group
NPI 1851829550 (301) 932-4522

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

Other Providers at the Same Location NPPES 11

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

MRS. MARIA PSEFTELIS CIRALDO FNP
Nurse Practitioner (Family)
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
THOMAS E. CARSON, M.D., P.A.
Family Medicine
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
SARAH C SMITH DO
Family Medicine
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
DR. KATIE E DRAKE D.O.
Family Medicine
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
MRS. CHRISTIA MCCANN
Physician Assistant (Medical)
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
MRS. GENEVA PALAIDIS ARNP
Nurse Practitioner
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
MRS. NANCY KLIBANOFF ARNP
Nurse Practitioner
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908
DR. THOMAS E. CARSON M.D.
Family Medicine
1259 S PINELLAS AVE
TARPON SPRINGS, FL 34689
Pinellas County (727) 938-1908

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 Olivia Pierog's NPI number?

The NPI number for Olivia Pierog is 1760976138. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Olivia Pierog located?

Olivia Pierog practices at 1259 S Pinellas Ave, Tarpon Springs, FL 34689. The listed phone number is (727) 938-1908.

What is Olivia Pierog's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Olivia Pierog enrolled in Medicare?

Yes. Olivia Pierog is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Olivia Pierog's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Olivia Pierog reassigns Medicare benefits to Inova Health Care Services (Waldorf, MD). The 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 Olivia Pierog's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Olivia Pierog was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.