JOHNATHAN MARTIN HOLLYFIELD (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1407293442

JOHNATHAN MARTIN HOLLYFIELD (MD) is a healthcare provider. based in Palm beach gardens, Florida. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 192214 (NC). The NPI Number for JOHNATHAN MARTIN HOLLYFIELD (MD) is 1407293442

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
JOHNATHAN MARTIN HOLLYFIELD (MD)
NPI
1407293442
Phone
(561) 383-3820
Address
11025 RCA CENTER DR STE 300
Enumeration Date
31 May 2013
Last Update Date
22 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3363872566
Graduation Year
2013 (13 years ago)
PAC ID
4587882618
Group Practice PAC ID
6406833094
Professional Enrollment ID
I20191216002487
Address ID
NV895034548RE235XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:13State licenses:2Digital endpointsOther names

82 PATHOLOGY in NV

Provider Addresses for JOHNATHAN MARTIN HOLLYFIELD (MD)

  • 11025 RCA CENTER DR STE 300

    PALM BEACH GARDENS, FL 334104269

    Phone: (561) 383-3820

    Fax: (855) 369-2450

    Type: Mailing

  • 343 ELM ST STE 206

    RENO, NV 89503

    Phone: (775) 746-3400

    Fax: (775) 746-3411

    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.

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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: 2019-12-16

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
I20191216002487IPathologyNVTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity788385$0
88342Special stained specimen slides to examine tissue, initial procedure1211$0
View full utilization report →

Insurance plans in this area (ZIP 33410)

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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: 6406833094View full group profile
NameSpecialtyState
P A T H O L O G YNV
P A T H O L O G YNV
P A T H O L O G YNV
P A T H O L O G YTX

Reviews

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Frequently asked questions

How do payers reference JOHNATHAN MARTIN HOLLYFIELD (MD)?
For JOHNATHAN MARTIN HOLLYFIELD (MD), use NPI 1407293442 as the unique 10-digit identifier.
Is JOHNATHAN MARTIN HOLLYFIELD (MD) shown as active in public data?
Registry records indicate JOHNATHAN MARTIN HOLLYFIELD (MD) maintains an active NPI.
What kind of doctor is JOHNATHAN MARTIN HOLLYFIELD (MD)?
JOHNATHAN MARTIN HOLLYFIELD (MD) is associated with Anatomic Pathology & Clinical Pathology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is JOHNATHAN MARTIN HOLLYFIELD (MD) associated with Palm Beach Gardens?
Public fields place JOHNATHAN MARTIN HOLLYFIELD (MD) around Palm Beach Gardens, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for JOHNATHAN MARTIN HOLLYFIELD (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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