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LUKE BRANDON HOLLY PA-C
NPI 1619475969
Physician Assistant in Buckley, MI

Active since January 31, 2018PECOS Enrolled
124 NAVAHO TRL, BUCKLEY, MI 49620(231) 878-8310 Get Directions Write a Review

NPPES record last updated: November 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2021, Feb 3, 2021 (2 updates tracked since 2021).

About Luke Brandon Holly Pa-c NPPES

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

LUKE BRANDON HOLLY PA-C (NPI 1619475969) is an individual physician assistant in Buckley, Michigan, licensed in Michigan (5601008553) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619475969
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLUKE BRANDON HOLLYCredential: PA-C
Location Address124 NAVAHO TRLBuckley, MI 49620-9527
Mailing Address124 Navaho TrlBuckley, MI 49620-9527 · (231) 878-8310
Phone(231) 878-8310
Sole ProprietorNo
Enumeration DateJanuary 31, 2018
Last NPPES UpdateNovember 19, 20212 updates tracked since enumeration
NPPES CertifiedNovember 19, 2021
✔ NPI 1619475969 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 MI · 5601008553
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.
124 NAVAHO TRL, Buckley, MI 49620
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Secondary Practice Locations 2

Location 1224 Park AveFrankfort, MI 49635-9658 · Phone (231) 352-2200 · Fax (231) 352-2232
Location 21105 Sixth StTraverse City, MI 49684-2345 · Phone (231) 935-5000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Brandon Holly Pa-c 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
107 services104 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
97 services91 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49620 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $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.

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 Luke Holly's NPI number?

The NPI number for Luke Holly is 1619475969. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Luke Holly located?

Luke Holly practices at 124 Navaho Trl, Buckley, MI 49620. The listed phone number is (231) 878-8310.

What is Luke Holly's specialty?

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

Is Luke Holly enrolled in Medicare?

Yes. Luke Holly is registered in the Medicare PECOS enrollment system.

What insurance does Luke Holly accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Luke Holly 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 Luke Holly was last updated on November 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.