NPPES file of Aug 9, 2026

Holli Dezaun Waller, D.O.

Family Medicine Physician · Blacksburg, VA

Holli Dezaun Waller, D.O. is a family medicine physician with a practice address in Blacksburg, Virginia, and NPI 1053622167, issued on Jun 24, 2010. Check the license (Virginia 0116022785, as entered in NPPES) on the Virginia Department of Health Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053622167
Name
Holli Dezaun Waller
Credential
D.O.
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
0116022785 VA
Self-reported in NPPES; status is on the state search
Practice location
3700 South Main Street, Blacksburg, VA 24060
Phone
(540) 953-5445
Enumerated
Jun 24, 2010
Record last updated
Jun 24, 2010 (not updated in 16 years: call before relying on the address or phone)
Fax
(540) 953-5453
Medicare enrollment
Enrolled (PECOS I20140327000229); accepts Medicare assignment
Medical or professional school
Lake Erie College Of Osteopathic Medicine, Erie, 2010
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3700 South Main Street

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Abeera Hassan, MBBSStudent in an Organized Health Care Education/Training Program1568355360
  2. Kristie Jackson, NPFamily Nurse Practitioner1053407817

Verify Holli Dezaun Waller in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0116022785
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Virginia license search

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95% fewer Medicare Part D claims than the average family medicine physician in 2024

190 Medicare Part D claims for 88 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D.

  1. Holli Waller190
  2. Specialty average3,544

Most prescribed

  1. Cephalexin50 claims
  2. Ciprofloxacin Hcl23 claims
  3. Doxycycline Monohydrate22 claims
  4. Amoxicillin-Clavulanate Potass21 claims
  5. Sulfamethoxazole-Trimethoprim17 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $16.24

1 payment: food and beverage; the largest payer was Smith+Nephew, Inc. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Holli Waller$16.24
  2. Specialty average$902.55

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Premier Provider Health PATomball, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Holli Dezaun Waller among 4,137 family medicine physician records in Virginia

Holli Dezaun Waller, D.O. is one of 4,137 family medicine physician records with a practice address in Virginia. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2010, is newer than 65% of them.

  • NPI issued2010 · 65% of these records are older, 33% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 59% of these records are
  • Graduated2010 · median 2004 among the 2,426 with a school on file
  • Record last updated2010 · 54% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

44 family medicine physician records list a practice address in Blacksburg

They are 44 of the 861 NPPES records with a practice address in Blacksburg, and 4,137 family medicine physician records in Virginia.

The 8 family medicine physician records with the nearest ZIP codes

  1. Michael Clary, DOBlacksburg, VA 240601053374264
  2. David Duncan, M.D., F.A.A.F.P.Blacksburg, VA 240601427041656
  3. Jeremy Freeman, MDBlacksburg, VA 240601376527598
  4. David Harden, DOBlacksburg, VA 240601831180165
  5. William Hendricks, MDBlacksburg, VA 240601497746655
  6. David Hudgins, MDBlacksburg, VA 240601538140603
  7. Rodger Mattson, DOBlacksburg, VA 240601215999776
  8. Christopher Mertes, M.D.Blacksburg, VA 240601215928585

Common questions

What is Holli Dezaun Waller, D.O.'s NPI number?

Holli Dezaun Waller, D.O.'s National Provider Identifier (NPI) is 1053622167, issued on Jun 24, 2010. An NPI identifies a provider in billing; it is not a license.

Where is Holli Dezaun Waller, D.O. located?

The NPPES record lists a practice address at 3700 South Main Street, Blacksburg, VA, 24060. Phone: (540) 953-5445. Providers update this record themselves, so call before visiting.

How can I verify Holli Dezaun Waller, D.O.'s license?

NPPES lists Virginia license number 0116022785, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Holli Dezaun Waller, D.O. prescribe under Medicare Part D?

In 2024, Holli Dezaun Waller, D.O. had 190 Medicare Part D claims for 88 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.