HOLLY CANNON (DO) – Psychiatry Physician, NPI 1043547623
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,132 PSYCHIATRY in TX
Provider Addresses for HOLLY CANNON (DO)
1500 S Main St Fl 10
Fort Worth, TX 761044917
Phone: (177) 024-1518
Fax: (817) 702-4161
Type: Location
FT, R 42, Zieglöde, Frauenzell, Wiesent, Wörth an der Donau (VGem), Landkreis Regensburg, Bavaria, 93109, Germany
FORT WORTH, TX 761990335
Phone:
Type: Mailing
UNTHSC Health Pavilion, 855, Montgomery Street, Fort Worth, Tarrant County, Texas, 76107, United States
FORT WORTH, TX 761072553
Phone: (817) 735-2400
Type: Location
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: 2023-07-07 • 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
2023-07-07
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: 2018-10-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20130911000590 | I | Psychiatry | TX | TBD |
| I20181009000496 | I | Psychiatry | AR | 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 | 106 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 76 | 22 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 56 | 17 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 39 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 37 | 18 | $0 |
Insurance plans in this area (ZIP 76104)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | TX | 90792 | Psychiatric diagnostic evaluation with medical services | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AR | |
| Clinical Social Worker | AR | |
| - | AR | |
| - | CA | |
| Nurse Practitioner | AR | |
| Nurse Practitioner | AR | |
| Hospitalist, Internal Medicine, Hospitalist | KY | |
| Pulmonary Disease | AR | |
| Clinical Social Worker | AR | |
| Nurse Practitioner | AR |
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