ROYCE TUCKER HOLYOAK – Physician Assistant, NPI 1073248605

ROYCE TUCKER HOLYOAK is a healthcare provider. based in Pocatello, Idaho. specializing in PHYSICIAN ASSISTANT. The NPI Number for ROYCE TUCKER HOLYOAK is 1073248605

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
ROYCE TUCKER HOLYOAK
NPI
1073248605
Phone
(208) 282-4726
Address
921 S 8TH AVE STOP 8253
Enumeration Date
18 July 2022
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087155220
Graduation Year
2022 (4 years ago)
PAC ID
5294105904
Group Practice PAC ID
7618876590
Professional Enrollment ID
I20221221000855
Address ID
ID834402048RE450XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:3State licenses:0Digital endpointsOther names

1,531 PHYSICIAN ASSISTANT in ID

Provider Addresses for ROYCE TUCKER HOLYOAK

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    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 3 Open Payments records for all available years, with a total value of $120.

Total Amount is formed as General ($120) + Research ($0) + Ownership ($0) = $120.

Last reported payment date: 2024-07-10 • Largest payer in this snapshot: Inari Medical, Inc. ($120).

Total Amount

$120

General + Research + Ownership

Payments

3

Total payment records

General Amount

$120

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Inari Medical, Inc.$120
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: 2022-12-21

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
I20221221000855IPhysician AssistantIDTBD

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
32555Aspiration of fluid from chest cavity using imaging guidance5426$0
49083Drainage of fluid from abdominal cavity using imaging guidance4612$0
77002Fluoroscopic guidance for needle placement4039$0
36573Insertion of tube for infusion with imaging guidance and review by radiologist, patient 5 years or older2929$0
20610Aspiration and/or injection of fluid from large joint2727$0
View full utilization report →

Insurance plans in this area (ZIP 83209)

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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: 7618876590View full group profile
NameSpecialtyState
Physician AssistantID
Diagnostic RadiologyTX
Diagnostic RadiologyME
Diagnostic RadiologyTX
Diagnostic RadiologyIL
Diagnostic Radiology, Interventional RadiologyID
Diagnostic RadiologyCO
Diagnostic RadiologyWA
-VA
Diagnostic RadiologyAZ

Reviews

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Frequently asked questions

Can I verify ROYCE TUCKER HOLYOAK with an NPI only?
You can start verification with NPI 1073248605 for ROYCE TUCKER HOLYOAK, then check state licensing separately.
Is ROYCE TUCKER HOLYOAK listed as active for patients and plans?
The listing shows ROYCE TUCKER HOLYOAK as active in the NPI system.
What is ROYCE TUCKER HOLYOAK's specialty?
The listing groups ROYCE TUCKER HOLYOAK with Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for ROYCE TUCKER HOLYOAK?
ROYCE TUCKER HOLYOAK's geographic hint is Pocatello, Idaho in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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