DR. OLIVIA KATHRYN MOORLACH (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1619610094

DR. OLIVIA KATHRYN MOORLACH (DPM) is a healthcare provider. based in Fishers, Indiana. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 07001481A (IN). The NPI Number for DR. OLIVIA KATHRYN MOORLACH (DPM) is 1619610094

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. OLIVIA KATHRYN MOORLACH (DPM)
NPI
1619610094
Phone
(317) 937-1877
Address
9649 BRADFORD KNOLL DR
Enumeration Date
14 April 2022
Last Update Date
5 August 2025

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8884995249
Graduation Year
2022 (4 years ago)
PAC ID
0648789172
Group Practice PAC ID
8820074750
Professional Enrollment ID
I20250604003621
Address ID
IN460379629FI7830XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,974 PODIATRY in NY

Provider Addresses for DR. OLIVIA KATHRYN MOORLACH (DPM)

  • 9649 BRADFORD KNOLL DR

    FISHERS, IN 460379089

    Phone: (317) 937-1877

    Type: Mailing

  • 4422 3RD AVE

    BRONX, NY 104572594

    Phone: (718) 960-9000

    Type: Location

  • 7830 E 96TH ST

    FISHERS, IN 460379629

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Accufix Surgical Inc. ($132).

Total Amount

$364

General + Research + Ownership

Payments

8

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2025-06-04

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
I20250604003621IPodiatryINTBD

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 46037)

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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: 8820074750View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. OLIVIA KATHRYN MOORLACH (DPM)?
NPI 1619610094 is assigned to DR. OLIVIA KATHRYN MOORLACH (DPM) under the national enumeration system.
Is DR. OLIVIA KATHRYN MOORLACH (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. OLIVIA KATHRYN MOORLACH (DPM)'s specialty in plain language?
Clinically, the directory lists DR. OLIVIA KATHRYN MOORLACH (DPM) with Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. OLIVIA KATHRYN MOORLACH (DPM)?
The page summarizes Fishers, Indiana for DR. OLIVIA KATHRYN MOORLACH (DPM); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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