MRS. HOLLI DEZAUN WALLER (D.O.) – Family Medicine Physician, NPI 1053622167
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for MRS. HOLLI DEZAUN WALLER (D.O.)
6326 STONEWOOD POINTE LN.
HOUSTON, TX 77066
Phone: (281) 300-9849
Type: Mailing
3700 SOUTH MAIN STREET
BLACKSBURG, VA 24060
Phone: (540) 953-5445
Fax: (540) 953-5453
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($29).
Total Amount
$78
General + Research + Ownership
Payments
5
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2014-03-27
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 |
|---|---|---|---|---|
| I20140327000229 | I | Family Practice | TX | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 227 | 74 | $0 |
| 99183 | Management of oxygen chamber therapy | 176 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 82 | 34 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 63 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 23 | $0 |
Insurance plans in this area (ZIP 77066)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | NC | |
| Family Practice | TX | |
| Physician Assistant | TX | |
| Internal Medicine | TX | |
| Undersea And Hyperbaric Medicine, Family Practice, Family Practice, Undersea And Hyperbaric Medicine | TX | |
| Geriatric Medicine, Family Practice | TX | |
| General Practice | AL | |
| - | TX |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.