DAWN HOLMAN (M.D.) – Surgery Physician, NPI 1063465193
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
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Provider Addresses for DAWN HOLMAN (M.D.)
239, Park Boulevard, Marion, Marion County, Ohio, 43302, United States
MARION, VA 243544103
Phone: (276) 378-0075
Fax: (855) 318-0701
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)
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: 2022-04-25
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 |
|---|---|---|---|---|
| I20170920000989 | I | General Surgery | VA | TBD |
| I20220425000245 | I | General Surgery | VT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 24354)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | VA | 45378 | Diagnostic examination of large bowel using an endoscope | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | VT | |
| - | VT | |
| Physician Assistant | VT | |
| Physician Assistant | VT | |
| Hospitalist, Internal Medicine | CO | |
| H O S P I T A L I S T | FL | |
| Diagnostic Radiology | IL | |
| Family Practice | VT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| Nurse Practitioner | VT |
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