DR. JEREMY PATRICK HOLTER MD
NPI 1003859778
Internal Medicine in Shawnee, OK

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
3315 KETHLEY RD, SHAWNEE, OK 74804(405) 273-5801(405) 878-3814 Get Directions Write a Review

NPPES record last updated: August 30, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jeremy Patrick Holter Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMY PATRICK HOLTER MD (NPI 1003859778) is an individual internal medicine provider in Shawnee, Oklahoma, licensed in Oklahoma (22964) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of University Of Oklahoma College Of Medicine (2002).

NPPES Registry Identity

NPI1003859778
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JEREMY PATRICK HOLTERCredential: MD
Location Address3315 KETHLEY RDShawnee, OK 74804-9638
Mailing AddressPo Box 849Shawnee, OK 74802-0849 · (405) 273-5801 · Fax (405) 878-3814
Fax(405) 878-3814
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2002
Enumeration DateJune 13, 2006
Last NPPES UpdateAugust 30, 2012
NPI 1003859778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 22964
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedPediatricsTaxonomy 208000000X · License 22964 (OK)
3315 KETHLEY RD, Shawnee, OK 74804

Other Identifiers 3

Medicare UPINI41106OK
Medicare ID-Type Unspecified245628501OK · Medicare
Medicaid200057970AOK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jeremy Patrick Holter Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880630474
PECOS Enrollment IDI20050926000458
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
816 services299 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
228 services228 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
183 services122 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
129 services127 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
122 services119 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
21 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers56 claims104 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims13 services$1.06 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers16 claims31 services$1.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$104.47 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers13 claims31 services$36.54 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers17 claims54 services$20.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3315 KETHLEY RD
SHAWNEE, OK 74804
Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Orthopaedic Surgery
3315 KETHLEY RD
SHAWNEE, OK 74804
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Internal Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Family Medicine
3315 KETHLEY RD
SHAWNEE, OK 74804
Pediatrics
3315 KETHLEY RD
SHAWNEE, OK 74804
Physical Therapist
3315 KETHLEY RD
SHAWNEE, OK 74804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Holter's NPI number?

The NPI number for Jeremy Holter is 1003859778. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jeremy Holter located?

Jeremy Holter practices at 3315 Kethley Rd, Shawnee, OK 74804. The listed phone number is (405) 273-5801.

What is Jeremy Holter's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jeremy Holter enrolled in Medicare?

Yes. Jeremy Holter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeremy Holter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Jeremy Holter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeremy Holter affiliated with any hospitals?

According to CMS data, Jeremy Holter is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, O U Medical Center and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Jeremy Holter was last updated on August 30, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.