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PAUL S HOLLEY M.D.
NPI 1225015696
Family Medicine in Bemus Point, NY

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4936 MAIN ST, BEMUS POINT, NY 14712(716) 386-2414(716) 386-2437 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul S Holley M.d. NPPES

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

PAUL S HOLLEY M.D. (NPI 1225015696) is an individual family medicine provider in Bemus Point, New York, licensed in New York (204064) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Westfield Memorial Hospital, Inc, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1993).

NPPES Registry Identity

NPI1225015696
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL S HOLLEYCredential: M.D.
Location Address4936 MAIN STBemus Point, NY 14712-9667
Mailing Address4936 Main St, Po Box 470Bemus Point, NY 14712-9667 · (716) 386-2414 · Fax (716) 386-2437
Phone(716) 386-2414
Fax(716) 386-2437
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1993
Enumeration DateDecember 28, 2005
Last NPPES UpdateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1225015696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 204064
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4936 MAIN ST, Bemus Point, NY 14712
Open in Google Maps ↗

Other Identifiers 4

Other000524400003NY · Bc Western Ny Provider #
Other0109568NY · Independent Health
Other00010198101NY · Univera Provider Number
Medicaid01669929NY

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

Paul S Holley M.d. 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 ID5799735742
PECOS Enrollment IDI20050809000868
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 11

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.

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.
188 services133 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.
149 services94 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
148 services148 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
42 services38 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
42 services38 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westfield Memorial Hospital, Inc

Acute Care Hospitals · Westfield, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330166
Location189 East Main StreetWestfield, NY 14787 · Chautauqua County
Emergency services

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330229
Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County
Emergency services

Upmc Chautauqua At Wca

Acute Care Hospitals · Jamestown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330239
Location207 Foote AvenueJamestown, NY 14701 · Chautauqua County
Emergency services Birthing friendly

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14712 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
86%36 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 21 patients
100%27 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
98%89 patients5/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
98%103 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers33 claims51 services$5.43 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.00 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$2.61 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$112.20 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers15 claims39 services$44.66 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers15 claims84 services$20.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

HOLLY ALEXIS REED FNP
Nurse Practitioner (Family)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
CATHERINE A GILLESPIE RPAC
Physician Assistant (Medical)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
SAMANTHA LYNN KAPUSCINSKI CRNP
Nurse Practitioner (Adult Health)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
CHAUTAUQUA MEDICAL PRACTICE, P.C.
Family Medicine
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414

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 Paul Holley's NPI number?

The NPI number for Paul Holley is 1225015696. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Paul Holley located?

Paul Holley practices at 4936 Main St, Bemus Point, NY 14712. The listed phone number is (716) 386-2414.

What is Paul Holley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Holley enrolled in Medicare?

Yes. Paul Holley 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.

Is Paul Holley affiliated with any hospitals?

According to CMS data, Paul Holley is affiliated with Westfield Memorial Hospital, Inc, Brooks-Tlc Hospital System, Inc, Upmc Chautauqua At Wca and Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Paul Holley was last updated on November 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.