DR. TYLER J HOLLEY (MD, DDS) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1154760411
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TYLER J HOLLEY (MD, DDS)
UNIVERSITY OF NEBRASKA MEDICAL CTR
984125 NEBRASKA MEDICAL CENTER
OMAHA, NE 681984125
Phone:
Type: Mailing
UNIVERSITY OF FLORIDA- JACKSONVILLE
653-1 WEST 8TH STREET
JACKSONVILLE, FL 32209
Phone: (904) 244-3689
Type: Location
UNIVERSITY OF FLORIDA- GAINESVILLE
1600 SW ARCHER RD, D7-6
GAINESVILLE, FL 326100416
Phone: (352) 273-6750
Type: Location
1600 SW ARCHER RD # D7-6
GAINESVILLE, FL 326100416
Phone: (352) 273-6750
Fax: (352) 392-7609
Type: Mailing
1930 Alcoa Hwy Ste 335
Knoxville, TN 379201585
Phone: (865) 305-6217
Fax: (865) 305-6216
Type: Location
207 W GORE ST STE 302
ORLANDO, FL 328061014
Phone: (407) 839-8407
Fax: (407) 839-8446
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $1,528.
Total Amount is formed as General ($278) + Research ($1,250) + Ownership ($0) = $1,528.
Last reported payment date: 2024-09-10 • Largest payer in this snapshot: TechMah CMF, LLC ($1,250).
Total Amount
$1,528
General + Research + Ownership
Payments
3
Total payment records
General Amount
$278
General payments
Research Amount
$1,250
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TechMah CMF, LLC | $1,250 |
| KLS-Martin L.P. | $278 |
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: 2023-01-03
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 |
|---|---|---|---|---|
| I20200701002375 | I | Maxillofacial Surgery | FL | TBD |
| I20230103000907 | I | Maxillofacial Surgery | TN | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 68198)
Loading plans...
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.