DR. MILLICENT OVERLEY ROVELO (M.D.) – Plastic Surgery Physician, NPI 1326280371

DR. MILLICENT OVERLEY ROVELO (M.D.) is a healthcare provider. based in Los angeles, California. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. A130080 (CA). The NPI Number for DR. MILLICENT OVERLEY ROVELO (M.D.) is 1326280371

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MILLICENT OVERLEY ROVELO (M.D.)
NPI
1326280371
Phone
(323) 442-7903
Address
1510 San Pablo St
Enumeration Date
6 April 2009
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
8188569535
Graduation Year
2009 (17 years ago)
PAC ID
5092000299
Group Practice PAC ID
7315212834
Professional Enrollment ID
I20170717001790
Address ID
CA902622652LY3615XHWYX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:17State licenses:1Digital endpointsOther names

803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA

Provider Addresses for DR. MILLICENT OVERLEY ROVELO (M.D.)

  • 1510 San Pablo St

    Ste 415

    Los Angeles, CA 900335320

    Phone: (323) 442-7903

    Type: Location

  • 1001, North Roxbury Drive, Beverly Hills, Los Angeles County, California, 90210, United States

    BEVERLY HILLS, CA 902104213

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $623.

Total Amount is formed as General ($623) + Research ($0) + Ownership ($0) = $623.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ABBVIE INC. ($303).

Total Amount

$623

General + Research + Ownership

Payments

4

Total payment records

General Amount

$623

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-07-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170717001790IPlastic And Reconstructive SurgeryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
Q4236Carepatch, per square centimeter4,86559$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes2,203268$0
97610Therapy procedure using ultrasound95170$0
11043Removal of muscle and/or tissue, 20.0 sq cm or less809118$0
11042Removal of skin and tissue, 20.0 sq cm or less733139$0
View full utilization report →

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315212834View full group profile
NameSpecialtyState
Nurse PractitionerCA
Nurse PractitionerCA
Osteopathic Manipulative Medicine, Hospice/Palliative Care, Family PracticeCA
Internal Medicine, Pediatric MedicinePA
Nurse PractitionerCA
Physician AssistantCA
Nurse PractitionerCA
General PracticeAR
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

Is there an official ID for DR. MILLICENT OVERLEY ROVELO (M.D.) in U.S. healthcare records?
The official identifier for DR. MILLICENT OVERLEY ROVELO (M.D.) is NPI 1326280371.
Is DR. MILLICENT OVERLEY ROVELO (M.D.) still an active registrant?
DR. MILLICENT OVERLEY ROVELO (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. MILLICENT OVERLEY ROVELO (M.D.)'s focus?
For DR. MILLICENT OVERLEY ROVELO (M.D.), the primary taxonomy reads as Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where in California is DR. MILLICENT OVERLEY ROVELO (M.D.) registered?
Use Los Angeles, California as the headline location for DR. MILLICENT OVERLEY ROVELO (M.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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