OLIVIA M WHITE (MD) – Surgery Physician, NPI 1124557939

OLIVIA M WHITE (MD) is a healthcare provider. based in Springfield, Illinois. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 125070737 (IL). The NPI Number for OLIVIA M WHITE (MD) is 1124557939

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
OLIVIA M WHITE (MD)
NPI
1124557939
Phone
(217) 545-4401
Address
PO BOX 19638
Enumeration Date
6 June 2017
Last Update Date
12 September 2022

Doctor Profile

Medical School Name
ILLINOIS MEDICAL COLLEGE
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2062782451
Group Practice PAC ID
0446140180
Professional Enrollment ID
I20220920000103
Address ID
IL614553313MA525XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,422 GENERAL SURGERY in IL

Provider Addresses for OLIVIA M WHITE (MD)

  • PO BOX 19638

    SPRINGFIELD, IL 627949638

    Phone: (217) 545-4401

    Fax: (217) 545-1793

    Type: Mailing

  • 701 N 1ST ST STE D308

    SPRINGFIELD, IL 627023757

    Phone: (217) 545-4401

    Type: Location

  • 515 E GRANT ST STE 211

    MACOMB, IL 614553378

    Phone: (309) 833-3706

    Fax: (309) 836-1039

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $72.

Total Amount is formed as General ($72) + Research ($0) + Ownership ($0) = $72.

Last reported payment date: 2024-02-02 • Largest payer in this snapshot: Ethicon US, LLC ($38).

Total Amount

$72

General + Research + Ownership

Payments

2

Total payment records

General Amount

$72

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-02

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: 2022-09-20

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
I20220920000103IGeneral SurgeryILTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 62794)

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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: 0446140180View full group profile
NameSpecialtyState
-IL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
-TN
A N E S T H E S I O L O G YIA
Physician AssistantIL
-IL
Internal Medicine, Cardiovascular Disease (Cardiology), Cardiovascular Disease (Cardiology)WI
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Is OLIVIA M WHITE (MD) listed with a National Provider Identifier?
Yes — OLIVIA M WHITE (MD) has NPI 1124557939 on file in the registry.
Active or inactive — what applies to OLIVIA M WHITE (MD)?
You should see OLIVIA M WHITE (MD) as active in CMS-hosted NPPES data.
What area of care is associated with OLIVIA M WHITE (MD)?
OLIVIA M WHITE (MD)'s record emphasizes Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for OLIVIA M WHITE (MD)?
Travel planning: use Springfield, Illinois as the reference point for OLIVIA M WHITE (MD), then confirm.
When was this NPI issued?
Enumeration for OLIVIA M WHITE (MD) is noted as June 6, 2017 where the registry provides it.

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