KERI L HOLYOAK (PA) – Physician Assistant, NPI 1578578357
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,971 PHYSICIAN ASSISTANT in UT
Provider Addresses for KERI L HOLYOAK (PA)
7396 UNION PARK AVE STE 201
MIDVALE, UT 840476702
Phone: (801) 567-1400
Fax: (801) 567-1777
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 516 Open Payments records for all available years, with a total value of $216,226.
Total Amount is formed as General ($216,226) + Research ($0) + Ownership ($0) = $216,226.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($75,853).
Total Amount
$216,226
General + Research + Ownership
Payments
516
Total payment records
General Amount
$216,226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Regeneron Healthcare Solutions, Inc. | $75,853 |
| GENZYME CORPORATION | $47,982 |
| Dermavant Sciences, Inc. | $44,512 |
| Arcutis Biotherapeutics, Inc. | $16,144 |
| Sun Pharmaceutical Industries Inc. | $11,430 |
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: 2006-02-24
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 |
|---|---|---|---|---|
| I20060224000658 | I | Physician Assistant | UT | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 327 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 93 | 72 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 82 | 66 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 51 | 44 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 33 | 31 | $0 |
Insurance plans in this area (ZIP 84047)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | UT | |
| Physician Assistant | UT |
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