JOHN MALCOLM HOLLINGSWORTH (MD) – Urology Physician, NPI 1679699086
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
Provider Addresses for JOHN MALCOLM HOLLINGSWORTH (MD)
2650 RIDGE AVE STE 1223
EVANSTON, IL 602011700
Phone: (479) 826-7158
Type: Mailing
3621 S STATE ST
ANN ARBOR, MI 481081633
Phone: (734) 647-5299
Type: Mailing
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 481095000
Phone: (734) 936-4000
Type: Location
1600 SW ARCHER RD
GAINESVILLE, FL 326101340
Phone: (352) 273-6815
Type: Location
1500 E Medical Center Dr
Ann Arbor, MI 481095000
Phone: (734) 936-4000
Type: Location
2180 Pfingsten Rd Ste 3000
Glenview, IL 600261340
Phone: (847) 503-3000
Fax: (847) 503-3500
Type: Location
2180 PFINGSTEN RD STE 3000
GLENVIEW, IL 600261340
Phone: (847) 503-3000
Fax: (847) 503-3500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $3,219.
Total Amount is formed as General ($3,219) + Research ($0) + Ownership ($0) = $3,219.
Last reported payment date: 2023-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($2,975).
Total Amount
$3,219
General + Research + Ownership
Payments
6
Total payment records
General Amount
$3,219
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $2,975 |
| Boston Scientific Corporation | $230 |
| Olympus America Inc. | $14 |
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: 2024-09-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220902002632 | I | Urology | IL | TBD |
| I20240926001685 | I | Urology | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 60201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Pain Management | FL | |
| Nurse Practitioner | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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