DR. HOLLY G DANNEMAN MD
NPI 1417958349
Family Medicine in Edgewood, KY

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
413 S LOOP RD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3820 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2024, Aug 15, 2022, Jul 9, 2019 and 3 more (6 updates tracked since 2016).

About Dr. Holly G Danneman Md NPPES

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

DR. HOLLY G DANNEMAN MD (NPI 1417958349) is an individual family medicine provider in Edgewood, Kentucky, licensed in Kentucky (37311) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edgewood, and is a graduate of University Of Kentucky College Of Medicine (2000).

NPPES Registry Identity

NPI1417958349
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. HOLLY G DANNEMANCredential: MD
Location Address413 S LOOP RDEdgewood, KY 41017-5446
Mailing AddressPo Box 636324Cincinnati, OH 45263-6324 · (859) 301-3800 · Fax (859) 301-3820
Fax(859) 301-3820
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2000
Enumeration DateAugust 2, 2005
Last NPPES UpdateJanuary 5, 20246 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1417958349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 37311
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.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 37311 (KY)
Also ListedHospitalistTaxonomy 208M00000X · License 37311 (KY)
413 S LOOP RD, Edgewood, KY 41017

Secondary Practice Location 1

Location 11 Medical Village DrEdgewood, KY 41017-3403 · Phone (859) 301-2000

Other Identifiers 3

Medicaid2527144OH
Medicaid64078512KY
Medicaid200533890IN

Accepted 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

Dr. Holly G Danneman Md 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 ID6305733197
PECOS Enrollment IDI20040304000710
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 2

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 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.
13 services13 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD, ST ELIZABETH FAMILY PRACTICE CENTER
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017

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 Danneman's NPI number?

The NPI number for Holly Danneman is 1417958349. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Holly Danneman located?

Holly Danneman practices at 413 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Holly Danneman's specialty?

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

Is Holly Danneman enrolled in Medicare?

Yes. Holly Danneman 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 Danneman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Holly Danneman 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 Danneman was last updated on January 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.