DR. LANCE D. HOLTRY D.O.
NPI 1104814037
Family Medicine in El Dorado Hills, CA

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment
5137 GOLDEN FOOTHILL PKWY, SUITE 120, EL DORADO HILLS, CA 95762(916) 933-8010 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Aug 13, 2019 (2 updates tracked since 2019).

About Dr. Lance D. Holtry D.o. NPPES

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

DR. LANCE D. HOLTRY D.O. (NPI 1104814037) is an individual family medicine provider in El Dorado Hills, California, licensed in California (20A10368) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1104814037
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LANCE D. HOLTRYCredential: D.O.
Location Address5137 GOLDEN FOOTHILL PKWY, SUITE 120El Dorado Hills, CA 95762-9670
Mailing AddressPo Box 45680San Francisco, CA 94145-0680 · (916) 933-8010
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 13, 2005
Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration
NPI 1104814037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A10368
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.
5137 GOLDEN FOOTHILL PKWY, El Dorado Hills, CA 95762

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. Lance D. Holtry 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 ID3375533383
PECOS Enrollment IDI20081030000440
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95762 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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 6

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

Nurse Practitioner (Family)
5137 GOLDEN FOOTHILL PKWY, SUITE 120
EL DORADO HILLS, CA 95762
Pediatrics (Adolescent Medicine)
5137 GOLDEN FOOTHILL PKWY, SUITE 120
EL DORADO HILLS, CA 95762
Family Medicine
5137 GOLDEN FOOTHILL PKWY, SUITE 120
EL DORADO HILLS, CA 95762
Pediatrics
5137 GOLDEN FOOTHILL PKWY, SUITE 120
EL DORADO HILLS, CA 95762
Family Medicine
5137 GOLDEN FOOTHILL PKWY, STE 120
EL DORADO HILLS, CA 95762
Family Medicine
5137 GOLDEN FOOTHILL PKWY, SUITE 120
EL DORADO HILLS, CA 95762

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 Lance Holtry's NPI number?

The NPI number for Lance Holtry is 1104814037. It was assigned to this individual provider in the NPPES registry on October 13, 2005.

Where is Lance Holtry located?

Lance Holtry practices at 5137 Golden Foothill Pkwy Suite 120, El Dorado Hills, CA 95762. The listed phone number is (916) 933-8010.

What is Lance Holtry's specialty?

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

Is Lance Holtry enrolled in Medicare?

Yes. Lance Holtry 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.

When was this NPI record last updated?

The NPPES record for Lance Holtry was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.