WILLIS JR. HOLLOWAY (M.D.) – Psychiatry Physician, NPI 1023054434

WILLIS JR. HOLLOWAY (M.D.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 15256 (OK). The NPI Number for WILLIS JR. HOLLOWAY (M.D.) is 1023054434

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
WILLIS JR. HOLLOWAY (M.D.)
NPI
1023054434
Phone
(405) 603-8450
Address
6613 N MERIDIAN AVE
Enumeration Date
22 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4056038450
Graduation Year
1984 (42 years ago)
PAC ID
9830085869
Group Practice PAC ID
1951297985
Professional Enrollment ID
I20040225001083
Address ID
OK731161423OK6613XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

363 PSYCHIATRY in OK

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Provider Addresses for WILLIS JR. HOLLOWAY (M.D.)

  • North Meridian Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73112, United States

    OKLAHOMA CITY, OK 731161423

    Phone: (405) 603-8450

    Fax: (405) 603-8455

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 49 Open Payments records for all available years, with a total value of $1,958.

Total Amount is formed as General ($1,958) + Research ($0) + Ownership ($0) = $1,958.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($1,163).

Total Amount

$1,958

General + Research + Ownership

Payments

49

Total payment records

General Amount

$1,958

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-02-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040225001083IPsychiatryOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes4838$0
G0179Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a2727$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes1714$0
View full utilization report →

Insurance plans in this area (ZIP 73116)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951297985View full group profile

Reviews

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Frequently asked questions

What federal number belongs to WILLIS JR. HOLLOWAY (M.D.)?
The federal identifier for WILLIS JR. HOLLOWAY (M.D.) is NPI 1023054434.
Is WILLIS JR. HOLLOWAY (M.D.) currently active in the NPI registry?
CMS-published data lists WILLIS JR. HOLLOWAY (M.D.) as an active registrant.
What kind of provider is WILLIS JR. HOLLOWAY (M.D.)?
The page reflects Psychiatry Physician for WILLIS JR. HOLLOWAY (M.D.). Clinical services aligned with this taxonomy classification.
Where is WILLIS JR. HOLLOWAY (M.D.)'s primary listing?
We display Oklahoma City, Oklahoma because that is what the record indicates for WILLIS JR. HOLLOWAY (M.D.).
Is WILLIS JR. HOLLOWAY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1023054434. Always confirm identity and privileges with the practice and licensing boards.

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