DAVID GLENN HOLST MD
NPI 1164416764
Family Medicine in Mount Shasta, CA

Q: What is David Holst's NPI number?

The NPI number for David Holst is 1164416764. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Q: What is David Holst'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 David Holst was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment

824 PINE ST, MOUNT SHASTA, CA 96067(530) 926-4528(530) 926-5070 Get Directions Write a Review

NPPES record last updated: September 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About David Glenn Holst Md NPPES

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

DAVID GLENN HOLST MD (NPI 1164416764) is an individual family medicine provider in Mount Shasta, California, licensed in California (G76027) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1991).

NPPES Registry Identity

NPI1164416764

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID GLENN HOLSTCredential: MD

Location Address824 PINE STMount Shasta, CA 96067-2137

Mailing AddressPo Box 339Mount Shasta, CA 96067-0339 · (530) 926-5613 · Fax (530) 926-8798

Phone(530) 926-4528

Fax(530) 926-5070

Sole ProprietorNo

Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1991

Enumeration DateSeptember 9, 2005

Last NPPES UpdateSeptember 19, 2013

✔ NPI 1164416764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · G76027

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.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License G76027 (CA)

824 PINE ST, Mount Shasta, CA 96067

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Other Identifiers 5

Medicare ID-Type Unspecified00G760270CA

Medicare UPINF66555

Medicare PIN00G760270

Other080080840Railroad Medicare

Medicaid00G760270CA

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

David Glenn Holst 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.

PECOS PAC ID5799710497

PECOS Enrollment IDI20080529000454

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 96067 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers39 claims124 services$6.02 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier11 claims11 services$6.01 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers25 claims25 services$109.79 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

2 suppliers13 claims13 services$33.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JULIA JONES LAC., DIPL.OM

Acupuncturist

824 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 964-2389

MCCLOUD HEALTHCARE CLINIC, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

824 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-4528

LESLIE J ANDREWS MD

Obstetrics & Gynecology

824 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-4528

JUDITH KAY CRABTREE NP

Nurse Practitioner

824 PINE ST
MT SHASTA, CA 96067

Siskiyou County (530) 926-4528

ELLIOTT PIERCE WAYBURN-BEST LVN

Licensed Vocational Nurse

824 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-4528

JACK LEROY HALING MD

Pediatrics

824 PINE ST
MOUNT SHASTA, CA 96067

Siskiyou County (530) 926-4528

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 David Holst's NPI number?

The NPI number for David Holst is 1164416764. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is David Holst located?

David Holst practices at 824 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-4528.

What is David Holst's specialty?

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

Is David Holst enrolled in Medicare?

Yes. David Holst 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 David Holst was last updated on September 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.