OLIVIA ARBALLO (D.O.) – Dermatology Physician, NPI 1184084089
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,284 DERMATOLOGY in TX
Provider Addresses for OLIVIA ARBALLO (D.O.)
BLANCHFIELD ARMY COMMUNITY HOSPITAL
650 JOEL DRIVE
FORT CAMPBELL, KY 42223
Phone:
Type: Mailing
WILFORD HALL ASC, ATTN: DEPT OF DERMATOLOGY
1100 WILFORD HALL LOOP BLDG 4554
JBSA-LACKLAND, TX 78236
Phone: (210) 292-3376
Fax: (210) 292-3376
Type: Location
8140 NORTON PKWY STE 220
MENTOR, OH 440606042
Phone: (440) 578-7546
Type: Mailing
650 JOEL DR
FORT CAMPBELL, KY 422235318
Phone: (440) 241-4278
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 32 Open Payments records for all available years, with a total value of $592.
Total Amount is formed as General ($592) + Research ($0) + Ownership ($0) = $592.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($131).
Total Amount
$592
General + Research + Ownership
Payments
32
Total payment records
General Amount
$592
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $131 |
| Lilly USA, LLC | $93 |
| GENZYME CORPORATION | $76 |
| UCB, Inc. | $47 |
| Amgen Inc. | $44 |
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: 2024-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240411001249 | I | Dermatology | OH | TBD |
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.
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 42223)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH |
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