KENNETH L HOLBERT MD
NPI 1093762148
Emergency Medicine in Mc Minnville, TN
About Kenneth L Holbert Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH L HOLBERT MD (NPI 1093762148) is an individual emergency medicine provider in Mc Minnville, Tennessee, licensed in Tennessee (21847) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cass Lake Indian Health Services Hospital, and is a graduate of University Of California, San Francisco School Of Medicine (1982).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 15
Accepted Insurance
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
Kenneth L Holbert 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.
Medicare Billing Reassignments
6Medicare enrollment records show Kenneth Holbert reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nashville, TN 37203
- Reassigned Medicare billing, Tennessee enrollment
- 414 clinicians in this Medicare group
Newport, TN 37821
- Reassigned Medicare billing, Tennessee enrollment
- 664 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Lawton, OK 73507
- Reassigned Medicare billing, Texas enrollment
- 347 clinicians in this Medicare group
Cass Lake, MN 56633
- Reassigned Medicare billing, Texas enrollment
- 98 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Tennessee enrollment
- 116 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.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cass Lake Indian Health Services Hospital
Critical Access Hospitals · Cass Lake, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MCMINNVILLE, TN 37110
MCMINNVILLE, TN 37110
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 Kenneth Holbert's NPI number?
The NPI number for Kenneth Holbert is 1093762148. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Kenneth Holbert located?
Kenneth Holbert practices at 1559 Sparta St, Mc Minnville, TN 37110. The listed phone number is (931) 815-4000.
What is Kenneth Holbert's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kenneth Holbert enrolled in Medicare?
Yes. Kenneth Holbert 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 Kenneth Holbert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Holbert reassigns Medicare benefits to 6 organizations: Emergency Medicine Services Of Tn, PC (Nashville, TN), Emergency Coverage, LLC (Newport, TN), Southeastern Emergency Physicians LLC (Maysville, KY), Lawton Indian Hospital (Lawton, OK), Department Of Health & Human Services Phs Ihs (Cass Lake, MN) and 1 more organization, listed in the Medicare section above. 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 Kenneth Holbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Holbert accept?
Health plans from Oscar Insurance Company list Kenneth Holbert 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 Kenneth Holbert affiliated with any hospitals?
According to CMS data, Kenneth Holbert is affiliated with Cass Lake Indian Health Services Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Holbert was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Kenneth L Holbert, MD · NPI 1093762148
Emergency Medicine physician in Mc Minnville, Tennessee. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1093762148 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 21847 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1559 SPARTA ST, Mc Minnville, TN 37110-1316
- **Phone:** (931) 815-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Services Of Tn, PC (NPI 1720785884, Nashville, TN); Emergency Coverage, LLC (NPI 1427005008, Newport, TN); Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY); Lawton Indian Hospital (NPI 1760489223, Lawton, OK); Department Of Health & Human Services Phs Ihs (NPI 1194754382, Cass Lake, MN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1982
## Record status
- **NPPES last updated:** November 6, 2007
- **Other identifiers:** Medicare PIN 3333055 (TN); Other 3045786 (TN); Other P00259801 (TN); and 12 more
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Source: [NPI Profile](https://npiprofile.com/npi/1093762148) · Data from the CMS NPPES public registry.