PETRA OLIVIERI – Oral & Maxillofacial Surgery (D.M.D.), NPI 1013460658

PETRA OLIVIERI is a healthcare provider. based in Cincinnati, Ohio. specializing in ORAL SURGERY, MAXILLOFACIAL SURGERY. They hold a License No. 30.026358 (OH). The NPI Number for PETRA OLIVIERI is 1013460658

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
PETRA OLIVIERI
NPI
1013460658
Phone
(513) 475-8783
Address
222 PIEDMONT AVE
Enumeration Date
1 August 2016
Deactivation Date
13 March 2017
Reactivation Date
11 April 2017
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Secondary Phone
5134758783
Graduation Year
2016 (10 years ago)
PAC ID
7012318629
Group Practice PAC ID
1658384482
Professional Enrollment ID
I20210701003801
Address ID
OH452194224CI222XXAVEX304

Contacts

Secure Messaging
polivieri143318@direct-prd.metrohealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

74 ORAL SURGERY in OH

Provider Addresses for PETRA OLIVIERI

  • 222 PIEDMONT AVE

    CINCINNATI, OH 452194231

    Phone: (513) 475-8783

    Fax: (513) 475-7698

    Type: Location

  • 2500 Metrohealth Dr

    Cleveland, OH 441091900

    Phone: (216) 778-7800

    Type: Location

  • Case Western Reserve University, 10900, Euclid Avenue, Cleveland, Cuyahoga County, Ohio, 44106, United States

    CLEVELAND, OH 44106

    Phone:

    Type: Mailing

  • 2500 METROHEALTH DR

    CLEVELAND, OH 441091900

    Phone: (216) 778-7800

    Type: Mailing

  • PO BOX 636256

    CINCINNATI, OH 452636256

    Phone: (513) 585-6200

    Fax: (513) 245-3672

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-08-02 • Largest payer in this snapshot: Straumann USA LLC ($28).

Total Amount

$28

General + Research + Ownership

Payments

1

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Straumann USA LLC$28
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: 2021-07-01

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
I20210701003801IMaxillofacial SurgeryOHTBD

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 45219)

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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: 1658384482View full group profile
NameSpecialtyState
Maxillofacial Surgery, Oral SurgeryOH
Maxillofacial Surgery, Oral SurgeryOH
Nurse PractitionerOH
-MS
Maxillofacial Surgery, Oral SurgeryME
Oral Surgery, Maxillofacial Surgery, Maxillofacial SurgeryOH
Oral Surgery, Oral And Maxillofacial PathologyNC
D E N T I S TAL
-OH
Oral SurgeryOH

Reviews

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Frequently asked questions

Does PETRA OLIVIERI have a public NPI I can cite?
Public records show PETRA OLIVIERI under NPI 1013460658.
Quick check: is PETRA OLIVIERI active?
Public NPPES data shows PETRA OLIVIERI with an active NPI status right now.
What type of care does PETRA OLIVIERI provide?
PETRA OLIVIERI's profile centers on Oral & Maxillofacial Surgery (D.M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to PETRA OLIVIERI?
PETRA OLIVIERI is associated with Cincinnati, Ohio in the same public data insurers reference.
Who maintains PETRA OLIVIERI's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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