DR. SUSAN LYNN JOLLY (M.D.) – Orthopaedic Surgery Physician, NPI 1598750366

DR. SUSAN LYNN JOLLY (M.D.) is a healthcare provider. based in West plains, Missouri. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 29220 (CO). The NPI Number for DR. SUSAN LYNN JOLLY (M.D.) is 1598750366

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN LYNN JOLLY (M.D.)
NPI
1598750366
Phone
(417) 256-1745
Address
1210 N. KENTUCKY
Enumeration Date
16 September 2005
Last Update Date
17 July 2024

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
7416855309
Group Practice PAC ID
3870491863
Professional Enrollment ID
I20150720002059
Address ID
MO657752029WE1100XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

802 ORTHOPEDIC SURGERY in MO

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Provider Addresses for DR. SUSAN LYNN JOLLY (M.D.)

  • Dermatology, 1210, North Kentucky Avenue, West Plains, Howell County, Missouri, 65775, United States

    WEST PLAINS, MO 65775

    Phone: (417) 256-1745

    Fax: (417) 256-1746

    Type: Location

  • 1100 N KENTUCKY AVE

    WEST PLAINS, MO 657752029

    Phone: (417) 256-9111

    Fax: (417) 256-1746

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $1,987.

Total Amount is formed as General ($1,987) + Research ($0) + Ownership ($0) = $1,987.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Stryker Corporation ($1,987).

Total Amount

$1,987

General + Research + Ownership

Payments

32

Total payment records

General Amount

$1,987

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$1,987
View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150720002059IOrthopedic SurgeryMOTBD

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.

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
20610Aspiration and/or injection of fluid from large joint14786$0
99213Established patient office or other outpatient visit, 20-29 minutes12492$0
99214Established patient office or other outpatient visit, 30-39 minutes7259$0
99203New patient office or other outpatient visit, 30-44 minutes4747$0
99204New patient office or other outpatient visit, 45-59 minutes2929$0
View full utilization report →

Insurance plans in this area (ZIP 65775)

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Provider's Procedures

DR. SUSAN LYNN JOLLY (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMO64721Release and/or relocation of median nerve of hand1412
ORTHOPEDIC SURGERYMO73110X-ray of wrist, minimum of 3 views4722

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: 3870491863View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Family PracticeMO
Physician AssistantOK
-IL
Internal Medicine, RheumatologyMO
A N E S T H E S I O L O G YMO
-MO
-IL
Nurse PractitionerAR

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Frequently asked questions

What is the 10-digit NPI for DR. SUSAN LYNN JOLLY (M.D.)?
DR. SUSAN LYNN JOLLY (M.D.) — NPI 1598750366 — is the standard way to identify this listing.
Is DR. SUSAN LYNN JOLLY (M.D.) still practicing?
DR. SUSAN LYNN JOLLY (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. SUSAN LYNN JOLLY (M.D.)?
For research purposes, treat DR. SUSAN LYNN JOLLY (M.D.) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. SUSAN LYNN JOLLY (M.D.)?
DR. SUSAN LYNN JOLLY (M.D.)'s geographic hint is West Plains, Missouri in our summary view.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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