MR. JERRY HOLUBEC (D.O.) – Specialist, NPI 1831169895
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MR. JERRY HOLUBEC (D.O.)
1111, Raintree Circle, Allen, Collin County, Texas, 75013, United States
STE. 170
ALLEN, TX 750134901
Phone: (214) 509-9691
Fax: (214) 509-9661
Type: Location
1540 KELLER PKWY STE 108-112
KELLER, TX 762484601
Phone:
Type: Mailing
736 HALLELUJAH TRL
KELLER, TX 762484203
Phone: (817) 973-5331
Fax: (817) 769-9140
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-07-16 • Largest payer in this snapshot: Azurity Pharmaceuticals, Inc. ($32).
Total Amount
$69
General + Research + Ownership
Payments
4
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Azurity Pharmaceuticals, Inc. | $32 |
| Averitas Pharma Inc. | $23 |
| Fidia Pharma USA Inc. | $14 |
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: 2009-06-09
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 |
|---|---|---|---|---|
| I20090609000028 | I | Pain Management | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 333 | 46 | $0 |
| 96136 | Administration of psychological or neuropsychological test, first 30 minutes | 289 | 41 | $0 |
Insurance plans in this area (ZIP 75013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TX |
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