JED T HOLLINGSWORTH (D.O.) – Internal Medicine Physician, NPI 1215348032
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
248 DIAGNOSTIC RADIOLOGY in NE
Provider Addresses for JED T HOLLINGSWORTH (D.O.)
601 W LEOTA ST
NORTH PLATTE, NE 691016525
Phone: (308) 568-7470
Fax: (308) 535-3441
Type: Mailing
1111 E MCDOWELL RD
PHOENIX, AZ 850062612
Phone: (602) 839-2296
Type: Mailing
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: 2021-09-28
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 |
|---|---|---|---|---|
| I20210928002251 | I | Diagnostic Radiology | NE | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,068 | 844 | $0 |
| 71046 | X-ray of chest, 2 views | 802 | 746 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 603 | 540 | $0 |
| 77067 | Screening mammography | 511 | 511 | $0 |
| 77063 | Screening 3d breast mammography | 510 | 510 | $0 |
Insurance plans in this area (ZIP 69101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Radiology | CO | |
| - | NE | |
| Diagnostic Radiology, Interventional Radiology | IL | |
| Emergency Medicine | OR | |
| Interventional Radiology, Diagnostic Radiology | CA | |
| Emergency Medicine | PA | |
| - | SD | |
| Diagnostic Radiology, Interventional Radiology, Diagnostic Radiology | CO | |
| - | NE | |
| Emergency Medicine | UT |
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