DR. SCOTT DONALD HOLLEY M.D., F.A.C.S.
NPI 1811994841
Plastic Surgery in Portage, MI

Q: What is Scott Holley's NPI number?

The NPI number for Scott Holley is 1811994841. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Q: What is Scott Holley's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Holley was last updated on April 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 06, 2005PECOS EnrolledAccepts Medicare Assignment

7971 MOORSBRIDGE RD, PORTAGE, MI 49024(269) 329-2900(269) 329-1408 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Scott Donald Holley M.d., F.a.c.s. NPPES

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

DR. SCOTT DONALD HOLLEY M.D., F.A.C.S. (NPI 1811994841) is an individual plastic surgery provider in Portage, Michigan, licensed in Michigan (SH069904) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Bronson Methodist Hospital, and is a graduate of Indiana University School Of Medicine (1989).

NPPES Registry Identity

NPI1811994841

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. SCOTT DONALD HOLLEYCredential: M.D., F.A.C.S.

Location Address7971 MOORSBRIDGE RDPortage, MI 49024-4075

Mailing Address7971 Moorsbridge RdPortage, MI 49024-4075 · (269) 329-2900 · Fax (269) 329-1408

Phone(269) 329-2900

Fax(269) 329-1408

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1989

Enumeration DateJuly 6, 2005

Last NPPES UpdateApril 17, 2013

✔ NPI 1811994841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

License✔ Licensed in MI · SH069904

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License SH069904 (MI)

7971 MOORSBRIDGE RD, Portage, MI 49024

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Other Identifiers 3

Medicare ID-Type UnspecifiedOM68650002MI

Other0C90475MI · Blue Cross/blue Shield

Medicare UPINF01433MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Dr. Scott Donald Holley M.d., F.a.c.s. 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 ID7517911134

PECOS Enrollment IDI20101102000848

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 Scott Holley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Holley Medical Aesthetics PLLC

1.5 mi

Plastic and Reconstructive Surgery

8175 CREEKSIDE DR STE 100
Portage, MI 49024

Reassigned Medicare billing, Michigan enrollment
2 clinicians in this Medicare group

NPI 1801577671 (269) 222-1611

Paragon Health, P.C.

1.5 mi

Plastic and Reconstructive Surgery

8175 CREEKSIDE DR STE 100
Portage, MI 49024

Reassigned Medicare billing, Michigan enrollment
Medicare enrollment name: Paragon Health PC

NPI 1629528765 (269) 222-1611

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 4

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.

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.

67 services67 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.

50 services41 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

19 services13 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

15 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Bronson Methodist Hospital

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230017

Location601 John StreetKalamazoo, MI 49007 · Kalamazoo County

Emergency services Birthing friendly

Bronson Battle Creek Hospital

Acute Care Hospitals · Battle Creek, MI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number230075

Location300 North AvenueBattle Creek, MI 49017 · Calhoun County

Emergency services Birthing friendly

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230117

Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49024 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.

Other Providers at the Same Location NPPES 11

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

MICHAEL P MASKILL DPM

Podiatrist (Foot & Ankle Surgery)