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DR. STEPHEN W HOLM DMD
NPI 1295993145
Dentist - Oral and Maxillofacial Surgery in Lewiston, ID

Active since May 28, 2008Opted out of Medicare · through Sep 1, 2027
3326 4TH ST STE 2, LEWISTON, ID 83501(208) 743-1640(208) 743-1643 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephen W Holm Dmd NPPES

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

DR. STEPHEN W HOLM DMD (NPI 1295993145) is an individual oral and maxillofacial surgery provider in Lewiston, Idaho, licensed in Idaho (D-4057) and active in the NPI registry since May 2008. He has opted out of Medicare through September 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1295993145
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. STEPHEN W HOLMCredential: DMD
Location Address3326 4TH ST STE 2Lewiston, ID 83501-4455
Mailing Address3326 4th St Ste 2Lewiston, ID 83501-4455 · (208) 743-1640 · Fax (208) 743-1643
Phone(208) 743-1640
Fax(208) 743-1643
Sole ProprietorNo
Enumeration DateMay 28, 2008
Last NPPES UpdateAugust 3, 2009
✔ NPI 1295993145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in ID · D-4057
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3326 4TH ST STE 2, Lewiston, ID 83501
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Other Identifiers 3

Medicaid808116400ID
Other9212066ID · Idaho Smiles
Medicare UPIN1200010ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephen W Holm Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2015 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2015
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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

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

FACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC.
Dentist (Oral and Maxillofacial Surgery)
3326 4TH ST STE 2
LEWISTON, ID 83501
Nez Perce County (208) 743-1640

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 Stephen Holm's NPI number?

The NPI number for Stephen Holm is 1295993145. It was assigned to this individual provider in the NPPES registry on May 28, 2008.

Where is Stephen Holm located?

Stephen Holm practices at 3326 4th St Ste 2, Lewiston, ID 83501. The listed phone number is (208) 743-1640.

What is Stephen Holm's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Stephen Holm enrolled in Medicare?

No. Stephen Holm has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Stephen Holm accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Stephen Holm 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.

When was this NPI record last updated?

The NPPES record for Stephen Holm was last updated on August 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.