STEPHEN REESE HOLLEY (MD) – Hospitalist Physician, NPI 1235325994

STEPHEN REESE HOLLEY (MD) is a healthcare provider. based in Bloomington, Indiana. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 036118873 (IL). The NPI Number for STEPHEN REESE HOLLEY (MD) is 1235325994

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
STEPHEN REESE HOLLEY (MD)
NPI
1235325994
Phone
(812) 676-4102
Address
601 W 2nd St
Enumeration Date
17 September 2007
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2004 (22 years ago)
PAC ID
4082798046
Group Practice PAC ID
6204739675
Professional Enrollment ID
I20141208001084
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:18State licenses:3Digital endpointsOther names

3,511 INTERNAL MEDICINE in IN

Provider Addresses for STEPHEN REESE HOLLEY (MD)

  • 601 W 2nd St

    Bloomington, IN 474032317

    Phone: (812) 676-4102

    Type: Location

  • 3023, North Clark Street, Boystown, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    CHICAGO, IL 606575200

    Phone: (310) 866-2964

    Fax: (618) 351-4821

    Type: Mailing

  • Saint Joseph Memorial Hospital, 2, South Hospital Drive, Murphysboro, Jackson County, Illinois, 62966, United States

    MURPHYSBORO, IL 629663333

    Phone: (618) 684-3156

    Fax: (618) 529-0522

    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.

This can happen when there are no reportable CMS Open Payments records.

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: 2014-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (889 days ago).

Enrollment records

1

Earliest due date

2023-12-31

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
I20141208001084IInternal MedicineIA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes302286$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10940$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3030$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2414$0
View full utilization report →

Insurance plans in this area (ZIP 47403)

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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: 6204739675View full group profile

Reviews

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Frequently asked questions

How do I look up STEPHEN REESE HOLLEY (MD) by NPI?
Use NPI 1235325994 when you need to reference STEPHEN REESE HOLLEY (MD) in forms, claims, or directories.
Is STEPHEN REESE HOLLEY (MD) currently active in the NPI registry?
CMS-published data lists STEPHEN REESE HOLLEY (MD) as an active registrant.
What kind of provider is STEPHEN REESE HOLLEY (MD)?
The page reflects Hospitalist Physician for STEPHEN REESE HOLLEY (MD). Clinical services aligned with this taxonomy classification.
Where does public data place STEPHEN REESE HOLLEY (MD)?
The snapshot lists Bloomington, Indiana for STEPHEN REESE HOLLEY (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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