DR. JEFFREY CHARLES OLSON (DO) – Emergency Medicine Physician, NPI 1174507834

DR. JEFFREY CHARLES OLSON (DO) is a healthcare provider. based in Bonita springs, Florida. specializing in EMERGENCY MEDICINE. They hold the professional credentials DO. They hold a License No. OS7357 (FL). The NPI Number for DR. JEFFREY CHARLES OLSON (DO) is 1174507834

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY CHARLES OLSON (DO)
NPI
1174507834
Phone
(800) 224-0859
Address
10731 HALFMOON SHOAL RD APT 103
Enumeration Date
5 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2394033772
Graduation Year
1985 (41 years ago)
PAC ID
5395799886
Group Practice PAC ID
2466525977
Professional Enrollment ID
I20050308000677
Address ID
FL341055024NA13030RDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,232 EMERGENCY MEDICINE in FL

Provider Addresses for DR. JEFFREY CHARLES OLSON (DO)

  • 10731 HALFMOON SHOAL RD APT 103

    BONITA SPRINGS, FL 341351753

    Phone: (800) 224-0859

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2005-03-08

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
I20050308000677IEmergency MedicineFLTBD

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
99284Emergency department visit with moderate level of medical decision making4343$0
99283Emergency department visit with low level of medical decision making2524$0
99285Emergency department visit with high level of medical decision making1919$0
View full utilization report →

Insurance plans in this area (ZIP 34135)

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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: 2466525977View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. JEFFREY CHARLES OLSON (DO) in U.S. healthcare records?
The official identifier for DR. JEFFREY CHARLES OLSON (DO) is NPI 1174507834.
Active or inactive — what applies to DR. JEFFREY CHARLES OLSON (DO)?
You should see DR. JEFFREY CHARLES OLSON (DO) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. JEFFREY CHARLES OLSON (DO)?
DR. JEFFREY CHARLES OLSON (DO)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JEFFREY CHARLES OLSON (DO) associated with Bonita Springs?
Public fields place DR. JEFFREY CHARLES OLSON (DO) around Bonita Springs, Florida. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for DR. JEFFREY CHARLES OLSON (DO) is noted as December 5, 2005 where the registry provides it.

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