Active NPI 1891889705 Individual Practitioner Male Practitioner

Glen A Holley , PA

Physician Assistant • Ramsey, NJ

Professional Overview & Biography Verified Profile Summary

Glen Holley, PA is a registered healthcare professional specializing in Physician Assistant in Ramsey, NJ. Practice services are available at 171 LAKE ST under active NPI credentials.

Frequently performed procedures and clinical services include detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

171 Lake St

Ramsey, NJ 074462089

Telephone 2017850011

Associated Practice Facility / Clinic

🏢 Kinetic Physical Therapy, Pc Facility NPI 1629017579

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ramsey, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 9.5 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

5 Specialists

Practicing in Ramsey, NJ (3413 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	32	32	$125.00	$35.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$64.00	$23.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$33.00	$16.22
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	21	20	$375.00	$120.52
99344 New patient home visit, typically 1 hour	20	20	$375.00	$170.24
99343 New patient home visit, typically 45 minutes	13	13	$375.00	$119.53
85014 Red blood cell concentration measurement	13	12	$6.00	$2.32
84295 Blood sodium level	12	11	$9.00	$4.71
82435 Blood chloride level	12	11	$9.00	$4.51
84132 Blood potassium level	12	11	$9.00	$4.66
84520 Urea nitrogen level to assess kidney function	12	11	$8.00	$3.87
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	12	12	$375.00	$72.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	46	$128.00	$102.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$201.00	$153.56
99213 Established patient office or other outpatient visit, typically 15 minutes	20	20	$102.00	$69.85
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$30.00	$16.20
81002 Urinalysis, manual test	15	13	$19.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$128.00	$100.73
99213 Established patient office or other outpatient visit, typically 15 minutes	14	14	$102.00	$68.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$142.00	$101.41

Medical Specialties & State Licenses

CMS Verified: 2019-12-27

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00148700

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

Definition to come...

Secondary Practice Locations

50 Tice Blvd Ste A35

Woodcliff Lake, NJ 076777681

Phone: 2018827526

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Colette Byrnes , APN

Nurse Practitioner - Family

NPI 1144709452

Advanced Practice Nurse

Vanessa Canosa , PA-C

Physician Assistant

NPI 1598210320

Physician Assistant (Certified)

Dr. Peter Stern , MD

Internal Medicine

NPI 1902959331

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 27, 2019

Physician Assistant (License #25MP00148700 in NJ)

✅

NPI Profile Active July 08, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2011

Registered at 171 LAKE ST, RAMSEY, NJ 074462089 (Tel: 2017850011)

📍

Updated Business Mailing Address July 08, 2011

Registered at 171 LAKE ST, RAMSEY, NJ 074462089 (Tel: 2017850011)

👤

Provider Name / Credentials Updated July 08, 2011

Recorded as GLEN HOLLEY, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2011

Physician Assistant

🟢

Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891889705

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 03, 2006

Last Update: December 27, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

171 Lake St

Ramsey, NJ 074462089

Phone: 2017850011

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.