JOHN MICHAEL HOLLAND (MD) – Radiation Oncology Physician, NPI 1104834662

JOHN MICHAEL HOLLAND (MD) is a healthcare provider. based in Coos bay, Oregon. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. MD19074 (OR). The NPI Number for JOHN MICHAEL HOLLAND (MD) is 1104834662

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
JOHN MICHAEL HOLLAND (MD)
NPI
1104834662
Phone
(541) 269-8111
Address
1775 Thompson Rd
Enumeration Date
3 August 2006
Last Update Date
30 September 2020

Doctor Profile

Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032572500
Graduation Year
1989 (37 years ago)
PAC ID
5092873885
Group Practice PAC ID
3274908819
Professional Enrollment ID
I20081023000144
Address ID
OR972162532PO10123STXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

111 RADIATION ONCOLOGY in OR

Provider Addresses for JOHN MICHAEL HOLLAND (MD)

  • 1775 Thompson Rd

    Coos Bay, OR 974202198

    Phone: (541) 269-8111

    Type: Location

  • Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    KPV4

    PORTLAND, OR 972393011

    Phone: (503) 494-8756

    Type: Location

  • 3625, Northeast Multnomah Street, Laurelhurst, Portland, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972321914

    Phone:

    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: 2008-10-23

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
I20081023000144IRadiation OncologyORTBD

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
77014Ct guidance for insertion of radiation therapy fields7114$0
77427Radiation treatment management, 5 treatment sessions2111$0
View full utilization report →

Insurance plans in this area (ZIP 97420)

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Provider's Procedures

JOHN MICHAEL HOLLAND (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYOR77263Management of radiation therapy, complex4240

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: 3274908819View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OR
Emergency MedicineDC
Nurse PractitionerHI
Interventional Cardiology, Cardiovascular Disease (Cardiology)OR
Nurse PractitionerCA
Nurse PractitionerOR
Emergency MedicineOR
Emergency MedicineOR
Thoracic Surgery, Vascular SurgeryOR
General SurgeryOH

Reviews

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Frequently asked questions

Does JOHN MICHAEL HOLLAND (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JOHN MICHAEL HOLLAND (MD) uses 1104834662.
Does the file indicate JOHN MICHAEL HOLLAND (MD) is practicing under active NPI?
Directory data currently reports JOHN MICHAEL HOLLAND (MD) as active.
What taxonomy line describes JOHN MICHAEL HOLLAND (MD)?
For research purposes, treat JOHN MICHAEL HOLLAND (MD) as Radiation Oncology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JOHN MICHAEL HOLLAND (MD) on a map?
Expect Coos Bay, Oregon as a primary anchor for JOHN MICHAEL HOLLAND (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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