SUSAN A HOLE (D.O.) – Family Medicine Physician, NPI 1154384436

SUSAN A HOLE (D.O.) is a healthcare provider. based in Edgewater, Florida. specializing in Family Medicine Physician. They hold the professional credentials D.O.. They hold a License No. OS0006977 (FL). The NPI Number for SUSAN A HOLE (D.O.) is 1154384436

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN A HOLE (D.O.)
NPI
1154384436
Phone
(386) 423-1888
Address
346 N RIDGEWOOD AVE
Enumeration Date
8 April 2006
Last Update Date
17 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9046770453
Graduation Year
1992 (34 years ago)
PAC ID
1254362916
Group Practice PAC ID
1254222565
Professional Enrollment ID
I20100209000530
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SUSAN A HOLE (D.O.)

  • 346, Ridgewood Avenue, Edgewater, Volusia County, Florida, 32132, United States

    SUITE A

    EDGEWATER, FL 321321671

    Phone: (386) 423-1888

    Fax: (386) 423-2030

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-02-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100209000530IFamily PracticeFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 32132)

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Provider's Procedures

SUSAN A HOLE (D.O.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEFL20610Aspiration and/or injection of large joint or joint capsule8447
FAMILY MEDICINEFL93922Ultrasound study of arteries of both arms and legs3634
FAMILY MEDICINEFL95117Injection of incremental dosages of allergen, 2 or more injections39318

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254222565View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Geriatric Medicine, Family PracticeFL
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL
Internal MedicineFL
Physician AssistantFL

Reviews

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Frequently asked questions

Can I cross-check SUSAN A HOLE (D.O.) using NPI 1154384436?
NPI 1154384436 belongs to SUSAN A HOLE (D.O.); compare other details if you need extra assurance.
Active or inactive — what applies to SUSAN A HOLE (D.O.)?
You should see SUSAN A HOLE (D.O.) as active in CMS-hosted NPPES data.
What clinical focus is listed for SUSAN A HOLE (D.O.)?
At a glance, SUSAN A HOLE (D.O.) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is SUSAN A HOLE (D.O.) associated with Edgewater?
Public fields place SUSAN A HOLE (D.O.) around Edgewater, Florida. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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