HOLLY HUTCHESON (PA) – Physician Assistant, NPI 1669832150
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 HUTCHESON (PA)
1250 S Washington St
Van Wert, OH 458912551
Phone: (240) 686-2300
Type: Location
Saint Dominic Hospital, 969, Lakeland Drive, Woodland Hills, Jackson, Hinds County, Mississippi, 39216, United States
JACKSON, MS 392164606
Phone: (601) 200-4644
Fax: (601) 200-4645
Type: Location
PO BOX 23666
JACKSON, MS 392253666
Phone: (601) 200-4749
Fax: (601) 200-5929
Type: Mailing
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 $17.
Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.
Last reported payment date: 2024-05-07 • Largest payer in this snapshot: ABBVIE INC. ($17).
Total Amount
$17
General + Research + Ownership
Payments
1
Total payment records
General Amount
$17
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $17 |
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: 2024-03-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20161101001358 | I | Physician Assistant | OH | TBD |
| I20200611000648 | I | Physician Assistant | NJ | TBD |
| I20200813002669 | I | Physician Assistant | WV | TBD |
| I20210422001327 | I | Physician Assistant | NY | TBD |
| I20221005001018 | I | Physician Assistant | WI | TBD |
| I20240319002967 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 47 | 46 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 39 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 20 | 19 | $0 |
Insurance plans in this area (ZIP 45891)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IL | |
| Physician Assistant | WI | |
| - | PA | |
| Family Practice | OR | |
| - | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Physician Assistant | KS | |
| A N E S T H E S I O L O G Y | WI |
Reviews
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