DR. KEN V HOLT D.O.
NPI 1104894047
Obstetrics & Gynecology in Lander, WY

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
125 WYOMING ST, LANDER, WY 82520(307) 206-1330(307) 206-1331 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2023, Sep 26, 2022, Nov 18, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Ken V Holt D.o. NPPES

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

DR. KEN V HOLT D.O. (NPI 1104894047) is an individual obstetrics & gynecology provider in Lander, Wyoming, licensed in Wyoming (13534A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lake Regional Health System, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2000).

NPPES Registry Identity

NPI1104894047
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEN V HOLTCredential: D.O.
Location Address125 WYOMING STLander, WY 82520-3919
Mailing Address125 Wyoming StLander, WY 82520-3919 · (307) 206-1330 · Fax (307) 206-1331
Fax(307) 206-1331
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2000
Enumeration DateMarch 8, 2006
Last NPPES UpdateMay 17, 20234 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1104894047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses Licensed in WY · 13534A Licensed in MO · 2005020340
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
125 WYOMING ST, Lander, WY 82520

Other Names 1

Other Name (5)Dr. Kenny V Holt Do

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

Dr. Ken V Holt 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 ID1557390424
PECOS Enrollment IDI20210506001563, I20250909003516
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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Lake Regional Health System

Acute Care Hospitals · Osage Beach, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260186
Location54 Hospital DriveOsage Beach, MO 65065 · Camden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82520 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
$129.37 typical visit price
range $56.42 – $170.72
Typical copayment $32.34 (range $14.10 – $42.68)
Most-billed visit code 99204
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
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 2

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

Acupuncturist
125 WYOMING ST
LANDER, WY 82520
Obstetrics & Gynecology
125 WYOMING ST
LANDER, WY 82520

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 Ken Holt's NPI number?

The NPI number for Ken Holt is 1104894047. It was assigned to this individual provider in the NPPES registry on March 8, 2006. The provider is also known as Dr. Kenny V Holt Do.

Where is Ken Holt located?

Ken Holt practices at 125 Wyoming St, Lander, WY 82520. The listed phone number is (307) 206-1330.

What is Ken Holt's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ken Holt enrolled in Medicare?

Yes. Ken 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 Ken Holt accept?

Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Health Advantage, Medica and Octave and 3 other insurers list Ken 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 Ken Holt affiliated with any hospitals?

According to CMS data, Ken Holt is affiliated with Lake Regional Health System.

When was this NPI record last updated?

The NPPES record for Ken Holt was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.