DR. HOLLY G DANNEMAN (MD) – Family Medicine Physician, NPI 1417958349
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,717 FAMILY PRACTICE in KY
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Provider Addresses for DR. HOLLY G DANNEMAN (MD)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452636324
Phone: (859) 301-3800
Fax: (859) 301-3820
Type: Mailing
413, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 410175446
Phone: (859) 301-3800
Fax: (859) 301-3820
Type: Location
1 Medical Village Dr
Edgewood, KY 410173403
Phone: (859) 301-2000
Type: Location
413 SOUTH LOOP ROAD
EDGEWOOD, KY 410175446
Phone: (859) 301-3800
Fax: (859) 301-3820
Type: Location
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 $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2024-02-28 • Largest payer in this snapshot: Dexcom, Inc. ($21).
Total Amount
$52
General + Research + Ownership
Payments
3
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $21 |
| Merck Sharp & Dohme LLC | $15 |
| ABBVIE INC. | $15 |
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: 2004-03-04
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 |
|---|---|---|---|---|
| I20040304000710 | I | Family Practice | KY | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 33 | 15 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 21 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 15 | 15 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 15 | 15 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | KY | |
| - | KY | |
| Family Practice | KY | |
| H E M A T O L O G Y/ O N C O L O G Y | OH | |
| Family Practice | KY | |
| Nurse Practitioner | OH | |
| Physician Assistant | IL | |
| Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology) | OH | |
| - | KY | |
| Nurse Practitioner | OH |
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