DR. AMY MICHELLE HOLMAN (MD) – Family Medicine Physician, NPI 1669698205
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. AMY MICHELLE HOLMAN (MD)
901 E. 104TH ST.
MAILSTOP 400N
KANSAS CITY, MO 641319712
Phone: (816) 502-7104
Fax: (816) 932-9670
Type: Mailing
1004 PROGRESS DR
LANSING, KS 660436326
Phone: (913) 772-8200
Fax: (913) 772-0372
Type: Location
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 $28.
Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.
Last reported payment date: 2024-04-11 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($28).
Total Amount
$28
General + Research + Ownership
Payments
1
Total payment records
General Amount
$28
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $28 |
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: 2014-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1043 days ago).
Enrollment records
2
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20090901000185 | I | Family Practice | MO | TBD |
| I20140701002517 | I | Family Practice | KS | 2023-07-31 |
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.
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 | 565 | 330 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 193 | 193 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 170 | 139 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 131 | 131 | $0 |
| G0008 | Administration of influenza virus vaccine | 77 | 75 | $0 |
Insurance plans in this area (ZIP 64131)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KS | 83036 | Hemoglobin A1C level | 23 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Internal Medicine | KS | |
| Family Practice | KS | |
| Clinical Psychologist | MO | |
| Physical Medicine And Rehabilitation | NE | |
| Internal Medicine, Pediatric Medicine | KS | |
| Internal Medicine | MO | |
| Family Practice | MO | |
| Clinical Psychologist | MO | |
| Emergency Medicine, Family Practice, Sports Medicine | MO | |
| Family Practice | MO |
Reviews
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