DR. ANGELA SUZZANNE OLOMON (DO, FACN) – Psychiatry Physician, NPI 1487618062
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
819 PSYCHIATRY in MO
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Provider Addresses for DR. ANGELA SUZZANNE OLOMON (DO, FACN)
North Pomme de Terre Avenue, Bolivar, Polk County, Missouri, 65613, United States
BOLIVAR, MO 656131241
Phone: (417) 326-7272
Fax: (417) 326-2193
Type: Location
PO BOX 49
BOLIVAR, MO 656130049
Phone: (417) 326-7272
Fax: (417) 326-2193
Type: Mailing
900 E SAN MARTIN ST
BOLIVAR, MO 656132893
Phone: (417) 326-7272
Fax: (417) 326-2193
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $570.
Total Amount is formed as General ($570) + Research ($0) + Ownership ($0) = $570.
Last reported payment date: 2024-05-22 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($130).
Total Amount
$570
General + Research + Ownership
Payments
21
Total payment records
General Amount
$570
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-22
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-12
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 |
|---|---|---|---|---|
| I20050512000429 | I | Psychiatry | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 216 | 47 | $0 |
Insurance plans in this area (ZIP 65613)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| Clinical Psychologist | MO |
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