KELLY HOLMES (PA-C) – Physician Assistant, NPI 1952317281
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for KELLY HOLMES (PA-C)
43900 GARFIELD RD STE 228
CLINTON TWP, MI 480381137
Phone: (586) 286-0112
Fax: (269) 704-6096
Type: Location
16510, 19 Mile Road, Clinton Township, Macomb County, Michigan, 48038, United States
CLINTON TWP, MI 480381106
Phone: (586) 263-7200
Fax: (586) 263-7200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 67 Open Payments records for all available years, with a total value of $1,309.
Total Amount is formed as General ($1,309) + Research ($0) + Ownership ($0) = $1,309.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($224).
Total Amount
$1,309
General + Research + Ownership
Payments
67
Total payment records
General Amount
$1,309
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $224 |
| ABBVIE INC. | $198 |
| Lilly USA, LLC | $149 |
| LEO Pharma Inc. | $96 |
| Janssen Biotech, Inc. | $85 |
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: 2005-10-11
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 |
|---|---|---|---|---|
| I20051011000904 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 197 | 46 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 169 | 133 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 140 | 103 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 124 | 80 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 56 | 53 | $0 |
Insurance plans in this area (ZIP 48038)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MI | 17003 | Destruction of 2-14 skin growths | 216 | 38 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IN | |
| Physician Assistant | NC | |
| Physician Assistant | MI | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI |
Reviews
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