HOLLY A CEARLEY (MD) – Pediatrics Physician, NPI 1104803717

HOLLY A CEARLEY (MD) is a healthcare provider. based in Austin, Texas. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. L6313 (TX). The NPI Number for HOLLY A CEARLEY (MD) is 1104803717

Main info

Female
Name
HOLLY A CEARLEY (MD)
NPI
1104803717
Phone
(512) 901-4016
Address
12221 N MO PAC EXPY
Enumeration Date
23 December 2005
Last Update Date
30 December 2015
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for HOLLY A CEARLEY (MD)

  • Saint David's North Austin Medical Center, 12221, North Mopac Expressway, The Centrum, Austin, Travis County, Texas, 78758, United States

    AUSTIN, TX 787582415

    Phone: (512) 901-4016

    Fax: (512) 901-3948

    Type: Mailing

  • 2400, Cedar Bend Drive, Village at Walnut Creek, Austin, Travis County, Texas, 78758, United States

    AUSTIN, TX 787582483

    Phone: (512) 901-4016

    Fax: (512) 901-3948

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-01-24 • Largest payer in this snapshot: Medtronic, Inc. ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$22
View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100728000131IPediatric MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78758)

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Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to HOLLY A CEARLEY (MD)?
NPI 1104803717 is assigned to HOLLY A CEARLEY (MD) under the national enumeration system.
Is HOLLY A CEARLEY (MD) active in the national directory?
HOLLY A CEARLEY (MD)'s public NPI profile is in an active state.
Does HOLLY A CEARLEY (MD) list a primary specialty?
If you are matching referrals, note Pediatrics Physician for HOLLY A CEARLEY (MD). Clinical services aligned with this taxonomy classification.
Where is HOLLY A CEARLEY (MD)'s primary listing?
We display Austin, Texas because that is what the record indicates for HOLLY A CEARLEY (MD).
Is HOLLY A CEARLEY (MD) a real provider?
This page reflects official NPPES data for NPI 1104803717. Always confirm identity and privileges with the practice and licensing boards.

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