DR. CASEY LEE LIVERINGHOUSE (MD) – Radiation Oncology Physician, NPI 1922568963

DR. CASEY LEE LIVERINGHOUSE (MD) is a healthcare provider. based in Tampa, Florida. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 20248 (ND). The NPI Number for DR. CASEY LEE LIVERINGHOUSE (MD) is 1922568963

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY LEE LIVERINGHOUSE (MD)
NPI
1922568963
Phone
Not provided
Address
17 DAVIS BLVD STE 308
Enumeration Date
25 March 2019
Last Update Date
9 July 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7013648900
Graduation Year
2019 (7 years ago)
PAC ID
2365985827
Group Practice PAC ID
9931298155
Professional Enrollment ID
I20240625002160
Address ID
ND581034940FA1702XSXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

494 RADIATION ONCOLOGY in FL

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Provider Addresses for DR. CASEY LEE LIVERINGHOUSE (MD)

  • Davis Boulevard, Davis Islands, Tampa, Hillsborough County, Florida, 33606, United States

    TAMPA, FL 336063438

    Phone:

    Type: Mailing

  • 1702 University Dr S

    Fargo, ND 581034940

    Phone: (701) 364-8900

    Type: Location

  • 400 E 3RD ST

    DULUTH, MN 558051951

    Phone:

    Type: Mailing

  • 4752 PRAIRIE POND XING S

    FARGO, ND 581045404

    Phone: (612) 839-7461

    Type: Location

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: 2024-06-25

PECOS data refreshed: 2026-06-15

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
I20240625002160IRadiation OncologyNDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33606)

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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: 9931298155View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YND
Nurse PractitionerND
Family PracticeND
Nurse PractitionerMN
Emergency MedicineND
Certified Nurse Midwife (Cnm)ND
Certified Registered Nurse Anesthetist (Crna)SD
Family PracticeND
D E R M A T O L O G YND
Certified Registered Nurse Anesthetist (Crna)MN

Reviews

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Frequently asked questions

What is the registry number for DR. CASEY LEE LIVERINGHOUSE (MD)?
The registry entry for DR. CASEY LEE LIVERINGHOUSE (MD) shows NPI 1922568963.
Does the public listing show DR. CASEY LEE LIVERINGHOUSE (MD) as active?
DR. CASEY LEE LIVERINGHOUSE (MD)'s NPI record reflects an active status in NPPES.
What type of care does DR. CASEY LEE LIVERINGHOUSE (MD) provide?
DR. CASEY LEE LIVERINGHOUSE (MD)'s profile centers on Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. CASEY LEE LIVERINGHOUSE (MD)?
DR. CASEY LEE LIVERINGHOUSE (MD) is associated with Tampa, Florida in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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