WILLIAM D. HOLMES JR. M.D.
NPI 1003007998
Family Medicine in Luling, LA

NPI Status: Active since August 06, 2007

Contact Information

843 MILLING AVE
LULING, LA
ZIP 70070
Phone: (985) 785-5800
Fax: (985) 785-5811

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  • Individual
  • Male
  • Family Medicine
  • PECOS Enrolled

About WILLIAM HOLMES

William Holmes is a primary care provider established in Luling, Louisiana and his medical specialization is Family Medicine. The healthcare provider is registered in the NPI registry with number 1003007998 assigned on August 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 201191 (LA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1003007998
Provider Name
WILLIAM D. HOLMES JR. M.D.
Gender
Male
Entity Type
Individual
Location Address
843 MILLING AVE LULING, LA 70070
Location Phone
(985) 785-5800
Location Fax
(985) 785-5811
Mailing Address
843 MILLING AVE LULING, LA 70070
Mailing Phone
(985) 785-5800
Mailing Fax
(985) 785-5811
Is Sole Proprietor?
No
Enumeration Date
08-06-2007
Last Update Date
09-28-2015
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A primary care provider (PCP) like William Holmes sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
201191
License State
LA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1479322MEDICAID (05)LA 
1444642MEDICAID (05)LA 

PECOS Enrollment and Medicare Participation Status

William Holmes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • Other DME (D1E)

    Face mask interface, replacement for full face mask, each (HCPCS:A7031)

    2 DME suppliers used 12 Medicare Claims 16 Services Paid

  • Other DME (D1E)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    2 DME suppliers used 12 Medicare Claims 32 Services Paid

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 70070 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $86.88
  • Minimum New Patient Price $56.01
  • Maximum New Patient Price $172.78
  • Average New Patient Copayment $21.72
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $43.19

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.08
  • Minimum Established Patient Price $16.83
  • Maximum Established Patient Price $140.34
  • Average Established Patient Copayment $25.02
  • Minimum Established Patient Copayment $4.2
  • Maximum Established Patient Copayment $35.08

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for WILLIAM D. HOLMES JR. M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003007998
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030014918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 4 + 9 + 1 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1003007998 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619960432 BAHRAM SADEGHPOUR M.D.
Individual
Specialist843 MILLING AVE
LULING, LA 70070
(985) 785-5852
1336132190 MARY KAY HARTMAN N.P.
Individual
Nurse Practitioner843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1942275367DR. YACARA TABB DPM
Individual
Podiatrist843 MILLING AVE PODIATRY DEPT
LULING, LA 70070
(985) 785-5800
1487629804 NORMAN R SEDLANDER LCSW
Individual
Counselor (Mental Health)843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1366417339 MOHAN D GANDHI M.D.
Individual
Specialist843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1073588042 JAMES G COMEAUX LCSW
Individual
Counselor (Mental Health)843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1245208131 MYRA D NOUSTENS LCSW
Individual
Counselor (Mental Health)843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1215999057 MOUSTAFA NACHABE MD
Individual
Pediatrics843 MILLING AVE
LULING, LA 70070
(985) 785-5852
1942316450DR. BRYAN BERTUCCI M.D.
Individual
Family Medicine843 MILLING AVE
LULING, LA 70070
(985) 785-5851
1144336652DR. JOHN TU THIEN M.D.
Individual
Internal Medicine843 MILLING AVE
LULING, LA 70070
(504) 271-8952
1407963150MR. CHRIS JOSEPH LEDET APRN
Individual
Nurse Practitioner (Family)843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1659482610DR. ELICIA NICOLE THOMPSON D.D.S.
Individual
Dentist (General Practice)843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1992800189 ROBERT EARL DAWSON MD
Individual
Internal Medicine843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1346332699DR. VADAKKIPALAYAM N. DEVARAJAN
Individual
Specialist843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1225115348 MICHELLE M COMBOY FNP
Individual
Nurse Practitioner843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1851423974MISS BRIDGET MARIE CAMERON M.S.W.
Individual
Social Worker (Clinical)843 MILLING AVE
LULING, LA 70070
(985) 785-5852
1134309040DR. CYNTHIA L CALDWELL D.D.S.
Individual
Dentist (General Practice)843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1518110055 REBECCA HAGEMAN MIDWIFE
Individual
Midwife843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1205081429 TARA H WILLIAMS LCSW
Individual
Social Worker843 MILLING AVE
LULING, LA 70070
(985) 785-5800
1265678403MRS. ALINA SIERRA SEDLANDER LCSW, BACS
Individual
Social Worker (Clinical)843 MILLING AVE
LULING, LA 70070
(985) 785-5800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003007998, enumerated in the NPI registry as an "individual" on August 06, 2007

The provider is located at 843 Milling Ave Luling, La 70070 and the phone number is (985) 785-5800

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $86.88 with an average copayment of $21.72 for new patient appointments. Established patients should expect a typical charge of $100.08 and an average copayment of 25.02. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on August 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.