KEITH G HOLLEY (MD) – Adult Reconstructive Orthopaedic Surgery Physician, NPI 1386616183
Adult Reconstructive Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
181 ORTHOPEDIC SURGERY in ID
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Provider Addresses for KEITH G HOLLEY (MD)
3340 E GOLDSTONE WAY
MERIDIAN, ID 836421026
Phone: (208) 367-5170
Fax: (208) 367-5180
Type: Mailing
4424, East Flamingo Avenue, Nampa, Canyon County, Idaho, 83687, United States
SUITE 110
NAMPA, ID 83687
Phone: (208) 288-4700
Fax: (208) 288-4720
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 119 Open Payments records for all available years, with a total value of $8,273.
Total Amount is formed as General ($8,273) + Research ($0) + Ownership ($0) = $8,273.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Total Joint Orthopedics, Inc. ($7,830).
Total Amount
$8,273
General + Research + Ownership
Payments
119
Total payment records
General Amount
$8,273
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Total Joint Orthopedics, Inc. | $7,830 |
| Zimmer Biomet Holdings, Inc. | $202 |
| ORTHALIGN INC | $119 |
| Sawtooth Surgical Solutions Inc | $39 |
| Think Surgical, Inc. | $31 |
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: 2011-08-05
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 |
|---|---|---|---|---|
| I20110805000191 | I | Orthopedic Surgery | ID | 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 |
|---|---|---|---|---|
| 73502 | X-ray of hip, 2-3 views | 103 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 80 | $0 |
| 73564 | X-ray of knee, 4 or more views | 67 | 34 | $0 |
| 73562 | X-ray of knee, 3 views | 50 | 22 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 37 | 37 | $0 |
Insurance plans in this area (ZIP 83642)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Hand Surgery | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Orthopedic Surgery | ID | |
| Orthopedic Surgery, Sports Medicine | ID | |
| Orthopedic Surgery | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CA | |
| Orthopedic Surgery | AK | |
| - | ID |
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