Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THEODORE WILSON HOLE M.D.
NPI 1104873611
Family Medicine in Ventura, CA

Q: What is Theodore Hole's NPI number?

The NPI number for Theodore Hole is 1104873611. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Theodore Hole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Hole was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.

Active since May 28, 2006PECOS Enrolled

2937 LOMA VISTA RD, VENTURA, CA 93003(805) 643-9975 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Theodore Wilson Hole M.d. NPPES

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

THEODORE WILSON HOLE M.D. (NPI 1104873611) is an individual family medicine provider in Ventura, California, licensed in California (G36661) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (1976).

NPPES Registry Identity

NPI1104873611

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHEODORE WILSON HOLECredential: M.D.

Location Address2937 LOMA VISTA RDVentura, CA 93003-2915

Mailing Address2937 Loma Vista RdVentura, CA 93003-2915 · (805) 643-9975

Phone(805) 643-9975

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 1976

Enumeration DateMay 28, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1104873611 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 · G36661

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.

2937 LOMA VISTA RD, Ventura, CA 93003

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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

Theodore Wilson Hole M.d. 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 ID5597895805

PECOS Enrollment IDI20100614000256

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 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.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

49 services23 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

37 services37 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

34 services22 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93003 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

$95.28 typical visit price

range $62.32 – $185.36

Typical copayment $23.82 (range $15.58 – $46.34)

Most-billed visit code 99203

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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

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

NOLAN J MAYER MD

Internal Medicine (Cardiovascular Disease)

2937 LOMA VISTA RD
VENTURA, CA 93003

Ventura County (805) 648-2763

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 Theodore Hole's NPI number?

The NPI number for Theodore Hole is 1104873611. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Theodore Hole located?

Theodore Hole practices at 2937 Loma Vista Rd, Ventura, CA 93003. The listed phone number is (805) 643-9975.

What is Theodore Hole's specialty?

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

Is Theodore Hole enrolled in Medicare?

Yes. Theodore Hole 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 Theodore Hole was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.