HOLLY ANN WOLTERS (P.A.) – Physician Assistant, NPI 1104197318
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for HOLLY ANN WOLTERS (P.A.)
4160 LITTLE YORK RD
SUITE 10
DAYTON, OH 454145800
Phone: (937) 415-9100
Fax: (937) 415-9191
Type: Location
PO BOX 713130
CINCINNATI, OH 452710001
Phone: (937) 415-9100
Fax: (937) 415-9191
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $151.
Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.
Last reported payment date: 2024-06-14 • Largest payer in this snapshot: Stryker Corporation ($119).
Total Amount
$151
General + Research + Ownership
Payments
3
Total payment records
General Amount
$151
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $119 |
| Smith+Nephew, Inc. | $16 |
| Orthofix Medical, Inc. | $16 |
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: 2012-03-16
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 |
|---|---|---|---|---|
| I20120316000218 | I | Physician Assistant | OH | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 2,660 | 177 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 296 | 181 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 249 | 201 | $0 |
| 73562 | X-ray of knee, 3 views | 174 | 135 | $0 |
| 73502 | X-ray of hip, 2-3 views | 73 | 50 | $0 |
Insurance plans in this area (ZIP 45414)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Physician Assistant | OH | |
| Orthopedic Surgery, Sports Medicine | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Physician Assistant | OH | |
| Orthopedic Surgery | OH | |
| Occupational Therapist In Private Practice | OH | |
| Orthopedic Surgery | OH | |
| Physical Therapist In Private Practice | OH |
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