JASON SCOTT LAWRENCE HOLLY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1023111259

JASON SCOTT LAWRENCE HOLLY (MD) is a healthcare provider. based in N kansas city, Missouri. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. 2012023678 (MO). The NPI Number for JASON SCOTT LAWRENCE HOLLY (MD) is 1023111259

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JASON SCOTT LAWRENCE HOLLY (MD)
NPI
1023111259
Phone
(816) 241-3338
Address
2750 CLAY EDWARDS DR
Enumeration Date
6 September 2006
Last Update Date
22 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Secondary Phone
9133968509
Graduation Year
2006 (20 years ago)
PAC ID
2567618226
Group Practice PAC ID
5193102028
Professional Enrollment ID
I20120810000844
Address ID
MO641163220KA2800XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

406 PATHOLOGY in MO

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Provider Addresses for JASON SCOTT LAWRENCE HOLLY (MD)

  • 2750, Clay Edwards Drive, North Kansas City, Clay County, Missouri, 64116, United States

    SUITE 420

    N KANSAS CITY, MO 641163237

    Phone: (816) 241-3338

    Fax: (816) 936-8118

    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.

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: 2015-03-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1014 days ago).

Enrollment records

2

Earliest due date

2023-08-31

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
I20120810000844IPathologyMO2023-08-31
I20150302002044IPathologyKSTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity712393$0
88307Pathology examination of tissue using a microscope, moderately high complexity14082$0
88342Special stained specimen slides to examine tissue, initial procedure137123$0
88341Special stained specimen slides to examine tissue, each additional procedure9028$0
88304Pathology examination of tissue using a microscope, moderately low complexity7971$0
View full utilization report →

Insurance plans in this area (ZIP 64116)

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Provider's Procedures

JASON SCOTT LAWRENCE HOLLY (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYMO88312Special stained specimen slides to identify organisms including interpretation and report2420
PATHOLOGYMO88342Tissue or cell analysis by immunologic technique145126

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: 5193102028View full group profile
NameSpecialtyState
P A T H O L O G YOR
P A T H O L O G YLA
P A T H O L O G YKS
P A T H O L O G YTX
P A T H O L O G YIA
Pathology, HematologyNC
P A T H O L O G YTX
P A T H O L O G YKS
P A T H O L O G YNM
P A T H O L O G YKS

Reviews

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Frequently asked questions

Can I cross-check JASON SCOTT LAWRENCE HOLLY (MD) using NPI 1023111259?
NPI 1023111259 belongs to JASON SCOTT LAWRENCE HOLLY (MD); compare other details if you need extra assurance.
Would JASON SCOTT LAWRENCE HOLLY (MD) appear as active to a payer?
You can treat JASON SCOTT LAWRENCE HOLLY (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JASON SCOTT LAWRENCE HOLLY (MD)'s focus?
For JASON SCOTT LAWRENCE HOLLY (MD), the primary taxonomy reads as Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JASON SCOTT LAWRENCE HOLLY (MD)?
Travel planning: use N Kansas City, Missouri as the reference point for JASON SCOTT LAWRENCE HOLLY (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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