JAMES A. HOLT MD
NPI 1083684385
Internal Medicine - Endocrinology, Diabetes & Metabolism in Concord, NC

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1085 NE GATEWAY CT NE, STE 330, CONCORD, NC 28025(704) 403-8320 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 40 more (43 updates tracked since 2019).

About James A. Holt Md NPPES

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

JAMES A. HOLT MD (NPI 1083684385) is an individual endocrinology, diabetes & metabolism provider in Concord, North Carolina, licensed in North Carolina (200300808) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1083684385
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameJAMES A. HOLTCredential: MD
Location Address1085 NE GATEWAY CT NE, STE 330Concord, NC 28025-2406
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 1998
Enumeration DateJanuary 26, 2006
Last NPPES UpdateJuly 15, 202443 updates tracked since enumeration
NPI 1083684385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NC · 200300808
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 200300808 (NC)
1085 NE GATEWAY CT NE, Concord, NC 28025

Secondary Practice Locations 4

Location 14525 Cameron Valley Pkwy, Ste 4100Charlotte, NC 28211-4369 · Phone (704) 302-9462
Location 216455 Statesville Rd, Ste 200Huntersville, NC 28078-7135 · Phone (704) 302-9462
Location 3101 E W T Harris Blvd, Bldg 3000 Ste 3301Charlotte, NC 28262-3485 · Phone (704) 302-9462
Location 41550 Faulk StMonroe, NC 28112-5086 · Phone (704) 667-6980

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

James A. Holt 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 ID1850491531
PECOS Enrollment IDI20070710000857
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 6

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.
353 services248 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
112 services56 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
79 services65 patients
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.
31 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

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

Referred Medical Equipment & Supplies CMS DME claims 10

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
4 suppliers16 claims203 services$17.86 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
4 suppliers16 claims480 services$2.35 avg. paid by Medicare
Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238
DME-Medical/Surgical Supplies · category DA000N
3 suppliers14 claims14 services$168.34 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
40 suppliers167 claims604 services$6.09 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers12 claims12 services$2.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers54 claims98 services$1.08 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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025
Internal Medicine
1085 NE GATEWAY CT NE, STE 200
CONCORD, NC 28025
Pediatrics
1085 NE GATEWAY CT NE, STE 290
CONCORD, NC 28025
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025
Pharmacy (Community/Retail Pharmacy)
1085 NE GATEWAY CT NE, STE 190
CONCORD, NC 28025
Internal Medicine
1085 NE GATEWAY CT NE, STE 330
CONCORD, NC 28025
Otolaryngology
1085 NE GATEWAY CT NE, SUITE 100
CONCORD, NC 28025
Nurse Practitioner
1085 NE GATEWAY CT NE, STE 200
CONCORD, NC 28025

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 James Holt's NPI number?

The NPI number for James Holt is 1083684385. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is James Holt located?

James Holt practices at 1085 NE Gateway Ct NE Ste 330, Concord, NC 28025. The listed phone number is (704) 403-8320.

What is James Holt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is James Holt enrolled in Medicare?

Yes. James Holt 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 James Holt accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list James Holt 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 James Holt affiliated with any hospitals?

According to CMS data, James Holt is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health, Stanly Regional Medical Center and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for James Holt was last updated on July 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.