DR. JESSE HOLLIS D.O.
NPI 1669755112
Surgery in Cooperstown, NY

Q: What is Jesse Hollis's NPI number?

The NPI number for Jesse Hollis is 1669755112. It was assigned to this individual provider in the NPPES registry on September 21, 2011.

Q: What is Jesse Hollis's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Hollis was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 21, 2011PECOS EnrolledAccepts Medicare Assignment

1 ATWELL RD, COOPERSTOWN, NY 13326(607) 547-3400 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2016, Jul 2, 2016 (2 updates tracked since 2016).

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About Dr. Jesse Hollis D.o. NPPES

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

DR. JESSE HOLLIS D.O. (NPI 1669755112) is an individual surgery provider in Cooperstown, New York, licensed in New York (284715) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1669755112

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. JESSE HOLLISCredential: D.O.

Location Address1 ATWELL RDCooperstown, NY 13326-1301

Mailing Address1 Atwell RdCooperstown, NY 13326-1301 · (607) 547-3400

Phone(607) 547-3400

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateSeptember 21, 2011

Last NPPES UpdateJuly 13, 20162 updates tracked since enumeration

✔ NPI 1669755112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NY · 284715✔ Licensed in FL · OS13155

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1 ATWELL RD, Cooperstown, NY 13326

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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

Dr. Jesse Hollis D.o. 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 ID7719274497

PECOS Enrollment IDI20160923000429

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

Medicare enrollment records show Jesse Hollis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mary Imogene Bassett Hospital

Same address

Multi-Specialty

1 ATWELL RD
Cooperstown, NY 13326

Reassigned Medicare billing, New York enrollment
1,052 clinicians in this Medicare group

NPI 1083664221 (607) 547-6858

St Marys Healthcare

40 mi

General Acute Care Hospital

427 GUY PARK AVE, ST MARYS HEALTHCARE PRIMARY CARE DEPT
Amsterdam, NY 12010

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: St. Mary's Healthcare
144 clinicians in this Medicare group

NPI 1518926401 (518) 841-7407

Carondelet Regional Medical, PC

44 mi

General Practice

3768 STATE HIGHWAY 30, BROADALBIN HEALTH CENTER
Broadalbin, NY 12025

Reassigned Medicare billing, New York enrollment
23 clinicians in this Medicare group

NPI 1861939944 (518) 883-3121

St. Peter's Health Partners Medical Associates, P.C.

55 mi

Internal Medicine

1240 NEW SCOTLAND RD SUITE 205
Slingerlands, NY 12159

Reassigned Medicare billing, New York enrollment
742 clinicians in this Medicare group

NPI 1568707222 (518) 475-9235

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 5

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.

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

42 services42 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.

28 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services20 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

13 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330047

Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13326 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

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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.

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.

SHIRLEY SCHUE ARNP

Nurse Practitioner (Pediatrics)