HOLLY D'LANA VON GRUENIGEN D.O.
NPI 1215220827
Pediatrics in Russell Springs, KY

Q: What is Holly Von Gruenigen's NPI number?

The NPI number for Holly Von Gruenigen is 1215220827. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Q: What is Holly Von Gruenigen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since May 16, 2011PECOS Enrolled

404 STEVE DR, RUSSELL SPRINGS, KY 42642(270) 866-3161(270) 866-3163 Get Directions Write a Review

NPPES record last updated: September 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Holly D'lana Von Gruenigen D.o. NPPES

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

HOLLY D'LANA VON GRUENIGEN D.O. (NPI 1215220827) is an individual pediatrics provider in Russell Springs, Kentucky, licensed in Kentucky (03704) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215220827

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameHOLLY D'LANA VON GRUENIGENCredential: D.O.

Location Address404 STEVE DRRussell Springs, KY 42642-4622

Mailing AddressPo Box 1080Burkesville, KY 42717-1080 · (270) 864-1472 · Fax (270) 864-1693

Phone(270) 866-3161

Fax(270) 866-3163

Sole ProprietorNo

Enumeration DateMay 16, 2011

Last NPPES UpdateSeptember 19, 2019

✔ NPI 1215220827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in KY · 03704

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

404 STEVE DR, Russell Springs, KY 42642

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Other Identifiers 1

Medicaid7100248610KY

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly D'lana Von Gruenigen D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Von Gruenigen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Russell County Hospital

0.4 mi

Critical Access

153 DOWELL RD
Russell Springs, KY 42642

Reassigned Medicare billing, Kentucky enrollment
16 clinicians in this Medicare group

NPI 1013954437 (270) 866-4753

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42642 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 15

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

ALEXANDRIA F LAWSON LCSW

Social Worker (Clinical)