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DR. KEVIN D HOLDER MD
NPI 1063543254
Family Medicine in South Orange, NJ

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
5 STANLEY RD, SOUTH ORANGE, NJ 07079(973) 762-6077(973) 762-4331 Get Directions Write a Review

NPPES record last updated: March 28, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Kevin D Holder Md NPPES

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

DR. KEVIN D HOLDER MD (NPI 1063543254) is an individual family medicine provider in South Orange, New Jersey, licensed in New Jersey (25MA04662500) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1983).

NPPES Registry Identity

NPI1063543254
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KEVIN D HOLDERCredential: MD
Location Address5 STANLEY RDSouth Orange, NJ 07079-2721
Mailing Address5 Stanley RdSouth Orange, NJ 07079-2721 · (973) 762-6077 · Fax (973) 762-4331
Phone(973) 762-6077
Fax(973) 762-4331
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1983
Enumeration DateMarch 8, 2007
Last NPPES UpdateMarch 28, 2013
✔ NPI 1063543254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA04662500
Definition
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.
5 STANLEY RD, South Orange, NJ 07079
Open in Google Maps ↗

Other Identifiers 1

Other020614591NJ · Tax Id

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

Dr. Kevin D Holder 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 ID9436062809
PECOS Enrollment IDI20031111000498
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 Reassignment

Medicare enrollment records show Kevin Holder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Center For Preventative Medicine Of New Jersey
0.2 mi
Internal Medicine
5 STANLEY RD
South Orange, NJ 07079
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1083747299 (973) 762-6077

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

Areas of Expertise CMS Part B claims 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services34 patients
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.
34 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07079 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 5

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

CENTER FOR PREVENTATIVE MEDICINE OF NEW JERSEY
Internal Medicine
5 STANLEY RD
SOUTH ORANGE, NJ 07079
Essex County (973) 762-6077
MR. BRIAN H NICHOLAS L.AC
Acupuncturist
5 STANLEY RD
SOUTH ORANGE, NJ 07079
Essex County (862) 250-5228
DR. MICHAEL HOLDER DPT
Physical Therapist
5 STANLEY RD
SOUTH ORANGE, NJ 07079
Essex County (917) 524-8052
AKOMA ACUPUNCTURE AND PRANIC HEALING
Acupuncturist
5 STANLEY RD
SOUTH ORANGE, NJ 07079
Essex County (862) 250-5228
MH PHYSICAL THERAPY
Physical Therapist
5 STANLEY RD
SOUTH ORANGE, NJ 07079
Essex County (917) 524-8052

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 Kevin Holder's NPI number?

The NPI number for Kevin Holder is 1063543254. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Kevin Holder located?

Kevin Holder practices at 5 Stanley Rd, South Orange, NJ 07079. The listed phone number is (973) 762-6077.

What is Kevin Holder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Holder enrolled in Medicare?

Yes. Kevin Holder 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 organization bills Medicare for Kevin Holder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Holder reassigns Medicare benefits to Center For Preventative Medicine Of New Jersey (South Orange, NJ). The 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 Kevin Holder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Holder was last updated on March 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.