HOLLY ANN WOLTERS P.A.
NPI 1104197318
Physician Assistant in Dayton, OH

Q: What is Holly Wolters's NPI number?

The NPI number for Holly Wolters is 1104197318. It was assigned to this individual provider in the NPPES registry on January 19, 2012. The provider is also known as Holly Ann Fortkamp P.A..

Q: What is Holly Wolters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Wolters was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 19, 2012PECOS EnrolledAccepts Medicare Assignment

93.2/100

CMS Quality Rating

4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414(937) 415-9100(937) 415-9191 Get Directions Write a Review

NPPES record last updated: November 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Holly Ann Wolters P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY ANN WOLTERS P.A. (NPI 1104197318) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50.003461) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1104197318

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHOLLY ANN WOLTERSCredential: P.A.

Location Address4160 LITTLE YORK RD, SUITE 10Dayton, OH 45414-5800

Mailing AddressPo Box 713130Cincinnati, OH 45271-0001 · (937) 415-9100 · Fax (937) 415-9191

Phone(937) 415-9100

Fax(937) 415-9191

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJanuary 19, 2012

Last NPPES UpdateNovember 6, 2013

✔ NPI 1104197318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OH · 50.003461

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4160 LITTLE YORK RD, Dayton, OH 45414

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Other Names 1

Former Name (1)Holly Ann Fortkamp P.a.

Other Identifiers 3

OtherP01170703OH · Rr Medicare

Medicaid0071994OH

Medicare PINH071520OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Ann Wolters P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577722172

PECOS Enrollment IDI20120316000218

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

3,980 services234 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

494 services240 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

434 services302 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

191 services144 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

152 services58 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

89 services71 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

74 services59 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

47 services47 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

38 services38 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

37 services28 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

26 services26 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

13 services13 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45414 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.2/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMILLE RAE BOWSHIER P.T.

Physical Therapist (Orthopedic)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

ATIBA DIARRA JACKSON M.D.

Orthopaedic Surgery

4160 LITTLE YORK RD, STE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

STEPHANIE JAE BUEHLER O.T.

Occupational Therapist

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

DR. TIMOTHY W HARMAN D.O.

Orthopaedic Surgery (Hand Surgery)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

KELLY RONYAK OT

Occupational Therapist

4160 LITTLE YORK RD, SUITE 1
DAYTON, OH 45414

Montgomery County (937) 415-9100

DR. GERARD M PAPP D.O.

Orthopaedic Surgery

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

RHONDA HOWARD OT

Occupational Therapist (Hand)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

ZACHARY BAUM NP-C

Nurse Practitioner (Family)

4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414

Montgomery County (937) 415-9100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Wolters's NPI number?

The NPI number for Holly Wolters is 1104197318. It was assigned to this individual provider in the NPPES registry on January 19, 2012. The provider is also known as Holly Ann Fortkamp P.A..

Where is Holly Wolters located?

Holly Wolters practices at 4160 Little York Rd Suite 10, Dayton, OH 45414. The listed phone number is (937) 415-9100.

What is Holly Wolters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Holly Wolters enrolled in Medicare?

Yes. Holly Wolters is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Holly Wolters accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Holly Wolters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Wolters was last updated on November 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.