MARSTON SHAUN HOLT M.D.
NPI 1275533457
Orthopaedic Surgery in Houston, TX

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
1045 GEMINI ST STE 100, HOUSTON, TX 77058(281) 335-1111(281) 286-9250 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marston Shaun Holt M.d. NPPES

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

MARSTON SHAUN HOLT M.D. (NPI 1275533457) is an individual orthopaedic surgery provider in Houston, Texas, licensed in Texas (L9738) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Clear Lake, and is a graduate of University Of Toledo College Of Medicine (1998).

NPPES Registry Identity

NPI1275533457
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMARSTON SHAUN HOLTCredential: M.D.
Location Address1045 GEMINI ST STE 100Houston, TX 77058-2705
Mailing Address1045 Gemini St Ste 100Houston, TX 77058-2705 · (281) 335-1111 · Fax (281) 286-9250
Fax(281) 286-9250
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 1998
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 28, 2016
NPI 1275533457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in TX · L9738
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

1045 GEMINI ST STE 100, Houston, TX 77058

Other Identifiers 1

OtherTXB123623TX · Medicare Ptan

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

Marston Shaun Holt 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 ID6507821741
PECOS Enrollment IDI20041129000963
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 17

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,474 services193 patients
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.
339 services244 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
248 services191 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
245 services172 patients
X-ray of shoulder blade 73010
An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.
210 services170 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
139 services113 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Houston Physicians' Hospital

Acute Care Hospitals · Webster, TX
OwnershipPhysician
CMS Certification Number670008
Location333 N Texas AvenueWebster, TX 77598 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
1%2,644 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,307 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
2%956 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%2,112 patients1/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
12%1,672 patients1/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 82% · 630 patients
96%630 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%2,112 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%2,112 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 530 patients
0%530 patients5/55-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

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier52 claims52 services$85.39 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 12

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

Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Orthopaedic Surgery
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Orthopaedic Surgery
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058
Physical Therapist
1045 GEMINI ST STE 100
HOUSTON, TX 77058

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 Marston Holt's NPI number?

The NPI number for Marston Holt is 1275533457. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Marston Holt located?

Marston Holt practices at 1045 Gemini St Ste 100, Houston, TX 77058. The listed phone number is (281) 335-1111.

What is Marston Holt's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Marston Holt enrolled in Medicare?

Yes. Marston 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 Marston Holt accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 6 other insurers list Marston 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 Marston Holt affiliated with any hospitals?

According to CMS data, Marston Holt is affiliated with Hca Houston Healthcare Clear Lake, Houston Methodist Clear Lake Hospital and Houston Physicians' Hospital.

When was this NPI record last updated?

The NPPES record for Marston Holt was last updated on September 28, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.