HOLLY E METZGAR D.O.
NPI 1043277528
Obstetrics & Gynecology in Wyomissing, PA

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment
86.13/100
CMS Quality Rating
1040 REED AVE, SUITE 4, WYOMISSING, PA 19610(610) 898-7560(610) 898-7561 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holly E Metzgar D.o. NPPES

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

HOLLY E METZGAR D.O. (NPI 1043277528) is an individual obstetrics & gynecology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (OS011855) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1043277528
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameHOLLY E METZGARCredential: D.O.
Location Address1040 REED AVE, SUITE 4Wyomissing, PA 19610-2029
Mailing AddressPo Box 13579Reading, PA 19612-3579
Fax(610) 898-7561
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateApril 27, 2006
Last NPPES UpdateNovember 6, 2014
✔ NPI 1043277528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · OS011855
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1040 REED AVE, Wyomissing, PA 19610

Other Identifiers 3

Medicare PIN092643PA
Medicare UPINI34422
Medicaid101412403PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly E Metzgar D.o. 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 ID9830127208
PECOS Enrollment IDI20050728000191
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Holly Metzgar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Endocrinology, Diabetes & Metabolism
1001 REED AVE, STE 402
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group
Dermatology
1001 REED AVE STE 402
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
Surgery
950 S OCTORARA TRL
Parkesburg, PA 19365
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Women's Health)
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Physician Assistant
1040 REED AVE, SUITE 4
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology (Gynecology)
1040 REED AVE
WYOMISSING, PA 19610
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610

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 Holly Metzgar's NPI number?

The NPI number for Holly Metzgar is 1043277528. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Holly Metzgar located?

Holly Metzgar practices at 1040 Reed Ave Suite 4, Wyomissing, PA 19610. The listed phone number is (610) 898-7560.

What is Holly Metzgar's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Holly Metzgar enrolled in Medicare?

Yes. Holly Metzgar 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.

Which organizations bill Medicare for Holly Metzgar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Metzgar reassigns Medicare benefits to 3 organizations: Reading Hospital (Wyomissing, PA), Tower Health Medical Group (Wyomissing, PA) and Lancaster General Hospital (Parkesburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Metzgar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Holly Metzgar affiliated with any hospitals?

According to CMS data, Holly Metzgar is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Holly Metzgar was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.