Active NPI
Carl O Ollivierre, M.D.
- Orthopaedic Surgery Physician
- Leesburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME0062348
- Practice address
- 600 North Blvd W
Suite C
Leesburg, FL 34748-5063 - Phone
- (352) 728-3000
- Fax
- (352) 787-6890
- NPI assigned
- Oct 27, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME0062348 | FL | Primary |
Addresses
Primary practice location
600 North Blvd W
Suite C
Leesburg, FL 34748-5063
Mailing address
600 North Blvd W
Suite C
Leesburg, FL 34748-5063
Phone (352) 728-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Howard University College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 W Magnolia St
Leesburg, FL 34748-5729
Phone (352) 753-4366
Hospital & facility affiliations
- Uf Health Leesburg Hospital
- Villages Regional Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0062348 | FL | MD | Orthopaedic Surgery Physician |
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lco Group PA | Orthopaedic Surgery | Current | Accepting new patients |
| Lco Group, PA | Past | Accepting new patients |
Locations
909 W Magnolia St
Leesburg, FL 34748
Phone (352) 753-4366
600 W North Blvd
Ste C
Leesburg, FL 34748
Phone (352) 728-3000
910 Old Camp Rd
Ste 112
The Villages, FL 32162
Phone (352) 240-1471
1400 N US Highway 441
Ste 950
The Villages, FL 32159
Phone (352) 530-2018
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- collivierre562704@direct.shands.ufl.edu
- collivierre@fmi.directglo.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Leesburg, FL
- NPI 1124037783
-
- Medical Specialty Clinic/Center
- The Villages, FL
- NPI 1255630471
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
-
- General Acute Care Hospital
- The Villages, FL
- NPI 1740276518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1346230596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 NORTH BLVD W",
"address_2": "SUITE C",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485063",
"telephone_number": "352-728-3000",
"fax_number": "352-787-6890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NORTH BLVD W",
"address_2": "SUITE C",
"city": "LEESBURG",
"state": "FL",
"postal_code": "347485063",
"telephone_number": "352-728-3000",
"fax_number": "352-787-6890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLLIVIERRE",
"first_name": "CARL",
"middle_name": "O",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME0062348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.