DR. HOLLIS A. BURGGRAF (MD) – Family Medicine Physician, NPI 1962484329
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. HOLLIS A. BURGGRAF (MD)
PO BOX 218
MORENCI, AZ 855400218
Phone: (928) 865-7503
Fax: (928) 865-7571
Type: Mailing
1 CALIFORNIA ST STE 2300
SAN FRANCISCO, CA 941115424
Phone: (800) 997-6196
Type: Location
Burro Alley, Plantsite, Morenci, Greenlee County, Arizona, 85533, United States
MORENCI, AZ 855409647
Phone: (928) 865-7503
Fax: (928) 865-7571
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-04-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040421000636 | I | Family Practice | AZ | TBD |
| I20050405000695 | I | Family Practice | CO | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85540)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | TX | |
| Internal Medicine | PA | |
| Clinical Psychologist | TX | |
| - | GA | |
| - | TN | |
| - | PA | |
| Internal Medicine | GA | |
| Mental Health Counselor | TX | |
| Family Practice | TX | |
| Clinical Psychologist | CO |
Reviews
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