Holli Dezaun Waller, D.O.
NPI 1053622167ActiveIndividual· Family Medicine· Blacksburg, VA
Family Medicine (D.O.) in Blacksburg, Virginia, licensed in VA, with an NPI issued in June 2010. 92 Medicare patients in 2024, $98,158 paid; nearly all of their 190 Part D prescriptions were generic (97%). Smith+nephew, Inc. reported $16.24 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1053622167 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jun 24, 2010 |
| Last updated in NPPES | Jun 24, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0116022785 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 92 |
|---|---|
| Services billed | 1,392 across 19 procedure codes |
| Paid by Medicare | $98,158 |
Part D prescriptions in 2024
| Prescriptions (claims) | 190 · 192 30-day fills |
|---|---|
| Patients | 88 |
| Total drug cost | $8,791 |
| Generic share | 97% of claims |
Industry payments (Open Payments)
- 2024$16.24 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $16.24 | 1 |
What the 2024 payments were for
- Food and Beverage$16.24 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 45 family medicine physicians in Blacksburg · All family medicine physicians in Virginia