HOLLY PAPANEK DO
NPI 1245303932
Internal Medicine in Dayton, OH

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
30 E APPLE ST, STE NW 3300, DAYTON, OH 45409(937) 208-8394(937) 208-8388 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holly Papanek Do NPPES

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

HOLLY PAPANEK DO (NPI 1245303932) is an individual internal medicine provider in Dayton, Ohio, licensed in Ohio (34-006936) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Clinton Memorial Hospital, and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1245303932
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameHOLLY PAPANEKCredential: DO
Location Address30 E APPLE ST, STE NW 3300Dayton, OH 45409
Mailing Address30 E Apple St, Ste Nw 3300Dayton, OH 45409-2939 · (937) 208-8394 · Fax (937) 208-8388
Fax(937) 208-8388
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1997
Enumeration DateNovember 17, 2006
Last NPPES UpdateJune 6, 2018
✔ NPI 1245303932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 34-006936
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30 E APPLE ST, Dayton, OH 45409

Secondary Practice Location 1

Location 11 Medical Center DrMiddletown, OH 45005-2584 · Phone (513) 705-4754 · Fax (513) 420-5156

Other Identifiers 1

Medicaid2190374OH

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly Papanek Do 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 ID6103987227
PECOS Enrollment IDI20081209000034
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 Reassignments

6

Medicare enrollment records show Holly Papanek reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
0.3 mi
Hospitalist
1 WYOMING ST, STE SE 3100B
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 744 clinicians in this Medicare group
Internal Medicine
514 HIGH ST
Waynesville, OH 45068
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
Family Medicine
3130 N COUNTY ROAD 25A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 405 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
Geriatric Medicine
5 RESEARCH DR
Shelton, CT 06484
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
161 services76 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
81 services72 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
69 services33 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
64 services58 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
43 services42 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
23 services15 patients

Hospital Affiliations CMS Care Compare

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

Clinton Memorial Hospital

Acute Care Hospitals · Wilmington, OH
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360175
Location610 West Main StreetWilmington, OH 45177 · Clinton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers12 claims12 services$52.38 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers50 claims50 services$55.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers20 claims20 services$18.35 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$79.95 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers58 claims58 services$23.48 avg. paid by Medicare
High strength, lightweight wheelchair K0004
DME-Wheelchairs · category DD000N
1 supplier18 claims18 services$27.41 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 20

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

Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Nurse Practitioner (Family)
30 E APPLE ST, STE NW 3300
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST, SUITE 5253
DAYTON, OH 45409
Surgery
30 E APPLE ST, STE 6258
DAYTON, OH 45409
Nurse Practitioner (Acute Care)
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Clinical Neuropsychologist
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Registered Nurse
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409

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 Papanek's NPI number?

The NPI number for Holly Papanek is 1245303932. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Holly Papanek located?

Holly Papanek practices at 30 E Apple St Ste NW 3300, Dayton, OH 45409. The listed phone number is (937) 208-8394.

What is Holly Papanek's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Holly Papanek enrolled in Medicare?

Yes. Holly Papanek 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.

Which organizations bill Medicare for Holly Papanek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Papanek reassigns Medicare benefits to 6 organizations: Sinclair Physician Services, LLC (Dayton, OH), Mvhe Inc (Dayton, OH), Holly N Papanek Do LLC (Waynesville, OH), Upper Valley Professional Corporation (Troy, OH), Hisey Physician Services, LLC (Middletown, OH) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Papanek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Papanek accept?

Health plans from CareSource, Molina Healthcare and Paramount list Holly Papanek 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.

Is Holly Papanek affiliated with any hospitals?

According to CMS data, Holly Papanek is affiliated with Clinton Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Holly Papanek was last updated on June 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.