Individual provider Active NPI

Carl O Ollivierre, M.D.

  • Orthopaedic Surgery Physician
  • Leesburg, FL
National Provider Identifier
1346230596
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME0062348 Issued in FL
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

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028000931 FL Practitioner - Orthopedic Surgery 6608845466 Reassigns benefits to 1 organization

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
Lco Group PAGroup PAC ID 0749259596, 4 clinicians

Practice addresses (Care Compare)

909 W Magnolia St
Leesburg, FL 34748-5729
Phone (352) 753-4366

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084
  • Villages Regional Hospital, the Hospital, The Villages, FL, CCN 100290

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0062348FLMDOrthopaedic Surgery Physician

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Lco Group PA Orthopaedic Surgery CurrentSince Oct 1, 1992 Accepting new patients
Lco Group, PA PastSince Oct 1, 1992 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

  • Direct secure messaging: collivierre562704@direct.shands.ufl.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.