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JACOB ERIC RONALD HOLT MD
NPI 1194831636
Family Medicine in Johnson City, TN

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
119 BOONE RIDGE DR, SUITE 201, JOHNSON CITY, TN 37615(423) 282-1480(423) 928-1353 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Eric Ronald Holt Md NPPES

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

JACOB ERIC RONALD HOLT MD (NPI 1194831636) is an individual family medicine provider in Johnson City, Tennessee, licensed in Tennessee (42090) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Wellmont Bristol Regional Medical Center, and is a graduate of East Tennessee State University Quillen College Of Medicine (2001).

NPPES Registry Identity

NPI1194831636
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB ERIC RONALD HOLTCredential: MD
Location Address119 BOONE RIDGE DR, SUITE 201Johnson City, TN 37615-4998
Mailing Address119 Boone Ridge Dr, Suite 201Johnson City, TN 37615-4998 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 282-1480
Fax(423) 928-1353
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2001
Enumeration DateAugust 21, 2006
Last NPPES UpdateMay 8, 2014
✔ NPI 1194831636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TN · 42090
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 ListedInternal MedicineTaxonomy 207R00000X · License 42866 (CO)
Also ListedHospitalistTaxonomy 208M00000X · License 42090 (TN)
119 BOONE RIDGE DR, Johnson City, TN 37615
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Other Identifiers 5

Medicare UPINI17871
Medicaid73375039CO
Medicaid3000017TN
Medicare ID-Type Unspecified900010
Medicare PIN3000017TN

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

Jacob Eric Ronald Holt 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 ID6002876331
PECOS Enrollment IDI20070710001001
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
554 services180 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
469 services146 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
79 services75 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services30 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%178 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers48 claims48 services$17.64 avg. paid by Medicare
Compressor, air power source for equipment which is not self-contained or cylinder driven E0565
DME-Other DME · category DE000N
2 suppliers11 claims11 services$31.18 avg. paid by Medicare
Respiratory suction pump, home model, portable or stationary, electric E0600
DME-Other DME · category DE000N
2 suppliers12 claims12 services$29.17 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
5 suppliers56 claims56 services$90.09 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 20

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

AMBER RAMSEY FNP-BC
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
MRS. CARLEEN MARIE OGLE FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. CLAUDIA CORINA COX MD
Internal Medicine
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
CLAIRE D PARIS M.D.
Hospitalist
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
DR. MICHAEL ALLEN KEITH O.D.
Optometrist
119 BOONE RIDGE DR, SUITE 101
JOHNSON CITY, TN 37615
Washington County (423) 283-7300
AMY HAMILTON FNP-C
Nurse Practitioner (Family)
119 BOONE RIDGE DR, STE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
COURTNEY D CONKIN FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480
LINDSEY TOWNSEND ELSWICK FNP
Nurse Practitioner (Family)
119 BOONE RIDGE DR, SUITE 201
JOHNSON CITY, TN 37615
Washington County (423) 282-1480

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 Jacob Holt's NPI number?

The NPI number for Jacob Holt is 1194831636. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Jacob Holt located?

Jacob Holt practices at 119 Boone Ridge Dr Suite 201, Johnson City, TN 37615. The listed phone number is (423) 282-1480.

What is Jacob Holt's specialty?

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

Is Jacob Holt enrolled in Medicare?

Yes. Jacob 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.

Is Jacob Holt affiliated with any hospitals?

According to CMS data, Jacob Holt is affiliated with Wellmont Bristol Regional Medical Center and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Holt was last updated on May 8, 2014. 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.