RICHARD W JOLLY (OD) – Family Medicine Physician, NPI 1194732040
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RICHARD W JOLLY (OD)
PO BOX 60
ENGLEWOOD, CO 80151
Phone: (303) 493-5200
Fax: (720) 570-2012
Type: Mailing
799, East Hampden Avenue, Englewood, Arapahoe County, Colorado, 80113, United States
SUITE 300
ENGLEWOOD, CO 801132700
Phone: (303) 493-5200
Fax: (720) 570-2012
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $82.
Total Amount is formed as General ($82) + Research ($0) + Ownership ($0) = $82.
Last reported payment date: 2023-02-23 • Largest payer in this snapshot: ABBVIE INC. ($28).
Total Amount
$82
General + Research + Ownership
Payments
4
Total payment records
General Amount
$82
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $28 |
| IDORSIA PHARMACEUTICALS US INC | $23 |
| GlaxoSmithKline, LLC. | $17 |
| AstraZeneca Pharmaceuticals LP | $14 |
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: 2004-04-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040402000687 | 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 80151)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CO | 81002 | Urinalysis, manual test | 14 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO |
Reviews
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