MR. JEREMY R HOLMAN (PA) – Physician Assistant, NPI 1275738197
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
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Provider Addresses for MR. JEREMY R HOLMAN (PA)
2200, East Parrish Avenue, Owensboro, Daviess County, Kentucky, 42303, United States
BLDG D SUITE 100
OWENSBORO, KY 423031449
Phone: (270) 316-9795
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)
No Open Payments data available for this provider.
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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: 2007-07-18
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 |
|---|---|---|---|---|
| I20070712000089 | I | Physician Assistant | IN | TBD |
| I20070718000041 | I | Physician Assistant | KY | 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 |
|---|---|---|---|---|
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 37 | 37 | $0 |
| 63030 | Partial removal of spine bone with release of lower spinal cord or nerves and/or removal of disc | 19 | 19 | $0 |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 17 | 17 | $0 |
| 22630 | Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc | 17 | 17 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 17 | 17 | $0 |
Insurance plans in this area (ZIP 42303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| N E U R O S U R G E R Y | KY | |
| N E U R O S U R G E R Y | KY | |
| N E U R O S U R G E R Y | KY | |
| - | KY | |
| Physician Assistant | IN | |
| N E U R O S U R G E R Y | OR | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN |
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