MR. RICHARD L JR. HOLMES (PA-C) – Physician Assistant, NPI 1467478396
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
Provider Addresses for MR. RICHARD L JR. HOLMES (PA-C)
Wilmington Post Office, Chestnut Street, Wilmington, New Hanover County, North Carolina, 28405, United States
WILMINGTON, DE 19804
Phone: (800) 456-4629
Fax: (302) 224-2848
Type: Mailing
11010 N DESERT VIEW LN
FLAGSTAFF, AZ 860041787
Phone: (928) 600-7630
Fax: (928) 600-7630
Type: Mailing
1810 MESQUITE AVE STE B
LAKE HAVASU CITY, AZ 864035886
Phone: (928) 453-4600
Type: Location
Peninsula Regional Medical Center, 100, East Carroll Street, Salisbury, Wicomico County, Maryland, 21801, United States
SALISBURY, MD 21801
Phone: (410) 543-7100
Fax: (410) 546-6350
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: 2018-10-09
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 |
|---|---|---|---|---|
| I20181009001661 | I | Physician Assistant | AZ | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 19804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Physician Assistant | VA | |
| Physician Assistant | AZ | |
| Family Practice | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | WY |
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