DR. CASEY JACOB HOLMES (M.D.) – Plastic Surgery Physician, NPI 1720387061

DR. CASEY JACOB HOLMES (M.D.) is a healthcare provider. based in Maywood, Illinois. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 125.059766 (IL). The NPI Number for DR. CASEY JACOB HOLMES (M.D.) is 1720387061

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. CASEY JACOB HOLMES (M.D.)
NPI
1720387061
Phone
(402) 452-8567
Address
2160 SOUTH 1ST AVE
Enumeration Date
25 March 2011
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
2395949100
Graduation Year
2011 (15 years ago)
PAC ID
7517260086
Group Practice PAC ID
6204937766
Professional Enrollment ID
I20210525000426
Address ID
FL341081921NA1175XPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:15State licenses:2Digital endpointsOther names

282 PLASTIC AND RECONSTRUCTIVE SURGERY in IL

Provider Addresses for DR. CASEY JACOB HOLMES (M.D.)

  • 2160 SOUTH 1ST AVE

    MAYWOOD, IL 60153

    Phone: (402) 452-8567

    Type: Mailing

  • 2160 S 1ST AVE

    MAYWOOD, IL 601533328

    Phone: (708) 327-3436

    Fax: (708) 327-3489

    Type: Location

  • 1175 CREEKSIDE PKWY STE 100

    NAPLES, FL 341082068

    Phone: (239) 594-9100

    Fax: (239) 594-3054

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 31 Open Payments records for all available years, with a total value of $8,259.

Total Amount is formed as General ($8,259) + Research ($0) + Ownership ($0) = $8,259.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Integra LifeSciences Corporation ($7,577).

Total Amount

$8,259

General + Research + Ownership

Payments

31

Total payment records

General Amount

$8,259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2021-05-25

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
I20210525000426IPlastic And Reconstructive SurgeryFLTBD

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
99205New patient office or other outpatient visit, 60-74 minutes6060$0
15004Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less4139$0
99213Established patient office or other outpatient visit, 20-29 minutes4125$0
14060Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less2920$0
View full utilization report →

Insurance plans in this area (ZIP 60153)

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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: 6204937766View full group profile
NameSpecialtyState
-FL
Plastic And Reconstructive SurgeryFL

Reviews

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Frequently asked questions

What is the standard ID for DR. CASEY JACOB HOLMES (M.D.) in the U.S.?
In the U.S., DR. CASEY JACOB HOLMES (M.D.) is identified by NPI 1720387061.
Is DR. CASEY JACOB HOLMES (M.D.)'s NPI status active today?
Active status means DR. CASEY JACOB HOLMES (M.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. CASEY JACOB HOLMES (M.D.) does?
Insurance directories may phrase it differently, but here DR. CASEY JACOB HOLMES (M.D.) maps to Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. CASEY JACOB HOLMES (M.D.)?
The directory associates DR. CASEY JACOB HOLMES (M.D.) with Maywood, Illinois. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. CASEY JACOB HOLMES (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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