DR. ALEXANDROS GEORGOLIOS (MD) – Otolaryngology Physician, NPI 1053571794

DR. ALEXANDROS GEORGOLIOS (MD) is a healthcare provider. based in Poplar bluff, Missouri. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. TP526 (KY). The NPI Number for DR. ALEXANDROS GEORGOLIOS (MD) is 1053571794

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDROS GEORGOLIOS (MD)
NPI
1053571794
Phone
(573) 778-2600
Address
3098 Oak Grove Rd
Enumeration Date
16 June 2008
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
2706885115
Graduation Year
2013 (13 years ago)
PAC ID
0547409906
Group Practice PAC ID
0648255034
Professional Enrollment ID
I20250128003565
Address ID
KY423030877OW1000XSTXX304

Contacts

Secure Messaging
ageorgolios129603@direct.owensborohealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

320 OTOLARYNGOLOGY in MO

Provider Addresses for DR. ALEXANDROS GEORGOLIOS (MD)

  • 3098 Oak Grove Rd

    Poplar Bluff, MO 639018938

    Phone: (573) 778-2600

    Type: Location

  • 79 Venizelou street

    Holargos, Attiki 15561

    Phone: 012106545443

    Type: Location

  • 1000 Breckenridge St Ste 303

    Owensboro, KY 423030877

    Phone: (270) 688-2720

    Fax: (270) 688-2729

    Type: Location

  • 79 VENIZELOU STREET

    HOLARGOS, ATTIKI 15561

    Phone: 012106545443

    Type: Mailing

  • Poplar Bluff Regional Medical Center, 3100, Oak Grove Road, Loma Linda, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639011573

    Phone: (573) 778-2600

    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: 2025-01-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20140703001378IOtolaryngologyMOTBD
I20250128003565IOtolaryngologyKYTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes306218$0
92567Test to assess middle ear function217182$0
99214Established patient office or other outpatient visit, 30-39 minutes182148$0
31575Diagnostic exam of voice box using a flexible endoscope13899$0
99203New patient office or other outpatient visit, 30-44 minutes116116$0
View full utilization report →

Insurance plans in this area (ZIP 63901)

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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: 0648255034View full group profile

Reviews

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Frequently asked questions

How is DR. ALEXANDROS GEORGOLIOS (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. ALEXANDROS GEORGOLIOS (MD) with NPI 1053571794.
Is DR. ALEXANDROS GEORGOLIOS (MD) listed as active for patients and plans?
The listing shows DR. ALEXANDROS GEORGOLIOS (MD) as active in the NPI system.
What taxonomy line describes DR. ALEXANDROS GEORGOLIOS (MD)?
For research purposes, treat DR. ALEXANDROS GEORGOLIOS (MD) as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. ALEXANDROS GEORGOLIOS (MD) list a practice location?
Patients near Poplar Bluff, Missouri may find DR. ALEXANDROS GEORGOLIOS (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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