HOLLY M. SMITH (PA-C) – Surgical Physician Assistant, NPI 1790736817
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for HOLLY M. SMITH (PA-C)
PO BOX 936
LONDON, KY 407430936
Phone: (606) 330-7835
Fax: (859) 278-0159
Type: Mailing
1401 HARRODSBURG RD STE B275
LEXINGTON, KY 405041775
Phone: (859) 278-2334
Fax: (859) 278-0159
Type: Location
1401, Harrodsburg Road, Headly Green, Lexington, Fayette County, Kentucky, 40504, United States
SUITE C100
LEXINGTON, KY 405043751
Phone: (859) 278-4960
Fax: (859) 278-0033
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $162.
Total Amount is formed as General ($162) + Research ($0) + Ownership ($0) = $162.
Last reported payment date: 2023-03-29 • Largest payer in this snapshot: ATRICURE, INC. ($162).
Total Amount
$162
General + Research + Ownership
Payments
1
Total payment records
General Amount
$162
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $162 |
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: 2007-09-17
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 |
|---|---|---|---|---|
| I20070917000678 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40743)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | KY | |
| General Surgery | KY | |
| - | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | KY | |
| N E U R O L O G Y | OH | |
| Clinical Social Worker | KY | |
| - | KY | |
| Surgical Oncology | OH |
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