Olivia Grayce Tack, M.D.
NPI 1255371514ActiveIndividual· Pediatrics· Granger, IN
Pediatrics (M.D.) in Granger, Indiana, trained at Michigan State University College of Human Medicine (class of 2003). Enrolled in Medicare as practitioner - pediatric medicine. Corium, LLC was the largest of 6 companies reporting payments in 2025, $218.42 in all, mostly food and beverage.
Overview
| NPI | 1255371514 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 7, 2006 |
| Last updated in NPPES | Nov 24, 2025 |
| Certified by provider | Nov 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | 01062281A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (IN) |
|---|
Education and affiliations
| Medical school | Michigan State University College of Human Medicine |
|---|---|
| Graduation year | 2003 |
| Medicare specialty | Pediatric Medicine |
Medical group
- Beacon Medical Group IncSouth Bend, IN · 589 clinicians
Industry payments (Open Payments)
- 2025$218.42 · 11 payments from 6 companies
- 2024$492.20 · 23 payments from 8 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Corium, LLC | $104.29 | 5 |
| Collegium Pharmaceutical, Inc. | $45.51 | 2 |
| Tris Pharma Inc | $23.32 | 1 |
| Seqirus USA Inc | $16.61 | 1 |
| Pfizer Inc. | $15.03 | 1 |
What the 2025 payments were for
- Food and Beverage$218.42 · 11 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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