HOLLY JO WYDER (M.D.) – Internal Medicine Physician, NPI 1093997488
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
13,297 INTERNAL MEDICINE in TX
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Provider Addresses for HOLLY JO WYDER (M.D.)
PO BOX 1239
TROY, MI 480991239
Phone: (248) 824-6600
Fax: (248) 324-1477
Type: Mailing
Hampton, 4800, Market Street, Fredericksburg, Spotsylvania County, Virginia, 22408, United States
SUITE 127
SAN ANTONIO, TX 782293628
Phone: (210) 733-5072
Fax: (210) 733-8649
Type: Location
8530 FM 78
CONVERSE, TX 781091032
Phone: (210) 436-8400
Fax: (833) 452-1052
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $281.
Total Amount is formed as General ($281) + Research ($0) + Ownership ($0) = $281.
Last reported payment date: 2024-05-08 • Largest payer in this snapshot: Novo Nordisk Inc ($93).
Total Amount
$281
General + Research + Ownership
Payments
11
Total payment records
General Amount
$281
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $93 |
| ABBVIE INC. | $86 |
| Exact Sciences Corporation | $56 |
| GlaxoSmithKline, LLC. | $26 |
| Lilly USA, LLC | $20 |
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: 2009-03-27
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 |
|---|---|---|---|---|
| I20090327000084 | I | Internal Medicine | TX | 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 | 169 | 69 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 80 | 57 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 41 | 19 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 28 | 28 | $0 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 26 | 12 | $0 |
Insurance plans in this area (ZIP 48099)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | CT | |
| - | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| Family Practice, Geriatric Medicine | TX | |
| Nurse Practitioner | TX |
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