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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: October 25, 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
Phone(307) 206-1330
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
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Other Names 1

Other Name (5)Dr. Kenny V Holt Do

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and more.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

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.

Medicare Billing Reassignments

6

Medicare enrollment records show Ken Holt reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Memorial Hospital Of Sweetwater County
89 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1558361949 (Wyoming)
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125
West Park Hospital District
109 mi
Emergency Medicine
PO BOX 143
Basin, WY 82410
  • Reassigned Medicare billing, Wyoming enrollment
  • 181 clinicians in this Medicare group
NPI 1942921937 (307) 568-3700
Golden Valley Memorial Hospital District
842 mi
Clinic/Center
603 E GAINES DR
Clinton, MO 64735
  • Reassigned Medicare billing, Missouri enrollment
  • 220 clinicians in this Medicare group
NPI 1396379830 (660) 885-5511
Lake Regional Health System
904 mi
Emergency Medical Services
54 HOSPITAL DR
Osage Beach, MO 65065
  • Reassigned Medicare billing, Missouri enrollment
  • 149 clinicians in this Medicare group
NPI 1053581454 (573) 348-8000
Baxter County Regional Hospital Inc
978 mi
Urology
628 HOSPITAL DR STE 2B
Mountain Home, AR 72653
  • Reassigned Medicare billing, Arkansas enrollment
  • 16 clinicians in this Medicare group
NPI 1093242000 (870) 508-2950
Mat-Su Valley III LLC
2,096 mi
Urgent Care
209 W EVERGREEN AVE STE B
Palmer, AK 99645
  • Reassigned Medicare billing, Alaska enrollment
  • 45 clinicians in this Medicare group
NPI 1861935975 (907) 861-1400

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 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.

GRETCHEN LEE HUNTER LAC
Acupuncturist
125 WYOMING ST
LANDER, WY 82520
Fremont County (307) 438-0144
ASPENGLOW OBSTETRICS AND GYNECOLOGY, LLC
Obstetrics & Gynecology
125 WYOMING ST
LANDER, WY 82520
Fremont County (307) 206-1330

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.

Which organizations bill Medicare for Ken Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ken Holt reassigns Medicare benefits to 6 organizations: Memorial Hospital Of Sweetwater County (Rock Springs, WY), West Park Hospital District (Basin, WY), Golden Valley Memorial Hospital District (Clinton, MO), Lake Regional Health System (Osage Beach, MO), Baxter County Regional Hospital Inc (Mountain Home, AR) 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 Ken Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ken Holt accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Health Advantage 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.