Paul Kelly Holt, ARNP
NPI 1316020563ActiveIndividual· Nurse Practitioner· Paducah, KY
Nurse Practitioner (ARNP) with Dr. Butler and Associates, PLLC, practicing in Paducah, Kentucky. Their prescriptions cost Medicare Part D more than their services did: $379,823 for 6,209 claims, against $72,660 paid for services in 2024. Exact Sciences Corporation was the largest of 3 companies reporting payments in 2025, $53.59 in all, mostly food and beverage. Lists Baptist Health Paducah and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1316020563 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ARNP |
| Sole proprietor | No |
| NPI issued | Oct 23, 2006 |
| Last updated in NPPES | Oct 27, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 2980P | KY |
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 - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 376 |
|---|---|
| Services billed | 4,975 across 37 procedure codes |
| Paid by Medicare | $72,660 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,209 · 10,428 30-day fills |
|---|---|
| Patients | 742 |
| Total drug cost | $379,823 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Dr. Butler and Associates, PLLCWickliffe, KY · 2 clinicians
Hospital affiliations
- Baptist Health PaducahPaducah, KY
- Jackson Purchase Medical CenterMayfield, KY
- Mercy Health - Lourdes HospitalPaducah, KY
- Murray-Calloway County HospitalMurray, KY
Industry payments (Open Payments)
- 2025$53.59 · 3 payments from 3 companies
- 2024$290.40 · 16 payments from 11 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $20.97 | 1 |
| Pfizer Inc. | $19.16 | 1 |
| Lilly USA, LLC | $13.46 | 1 |
What the 2025 payments were for
- Food and Beverage$53.59 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 50 nurse practitioners in Paducah · All nurse practitioners in Kentucky