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THOMAS DANIEL HOLT MD
NPI 1306848494
Family Medicine in Hayneville, AL

Active since August 10, 2005PECOS EnrolledAccepts Medicare Assignment
629 STATE HIGHWAY 21 S, HAYNEVILLE, AL 36040(312) 635-0973(702) 977-1496 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Daniel Holt Md NPPES

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

THOMAS DANIEL HOLT MD (NPI 1306848494) is an individual family medicine provider in Hayneville, Alabama, licensed in Alabama (00025027) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2004).

NPPES Registry Identity

NPI1306848494
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS DANIEL HOLTCredential: MD
Location Address629 STATE HIGHWAY 21 SHayneville, AL 36040-6033
Mailing AddressPo Box 7410723Chicago, IL 60674-0723 · (312) 635-0973 · Fax (702) 977-1496
Phone(312) 635-0973
Fax(702) 977-1496
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2004
Enumeration DateAugust 10, 2005
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1306848494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 00025027
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.
629 STATE HIGHWAY 21 S, Hayneville, AL 36040
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Other Identifiers 1

Medicaid009953445AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Thomas Daniel 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 ID8325010309
PECOS Enrollment IDI20040810001005
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

5

Medicare enrollment records show Thomas Holt reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michael A Courtney, M.D.
47 mi
Surgery
80 HERREN HILL RD STE F
Tallassee, AL 36078
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Community Hospital Inc
  • 84 clinicians in this Medicare group
NPI 1699802108 (337) 283-3734
Alabama Post-Acute Medical Service 1 PC
94 mi
Hospitalist
1720 KNOWLES RD
Phenix City, AL 36869
  • Reassigned Medicare billing, Alabama enrollment
  • 53 clinicians in this Medicare group
NPI 1073052403 (305) 447-4150
Cs Pacs 3 Southeast, LLC
465 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Alabama enrollment
  • 51 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
First Docs LLC
864 mi
Internal Medicine
1235 WHITEHORSE MERCERVILLE RD STE 306
Hamilton, NJ 08619
  • Reassigned Medicare billing, Alabama enrollment
  • 12 clinicians in this Medicare group
NPI 1154936227 (609) 585-1122
Nm Pacs 2 LLC
1,165 mi
Hospitalist
10101 LAGRIMA DE ORO RD NE
Albuquerque, NM 87111
  • Reassigned Medicare billing, Alabama enrollment
  • 49 clinicians in this Medicare group
NPI 1366928749 (865) 693-1000

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 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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,094 services239 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
625 services195 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
256 services224 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
100 services72 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36040 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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…
97%247 patients4/55-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 11

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

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$21.14 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers21 claims28 services$8.72 avg. paid by Medicare
Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061
DME-Orthotic Devices · category DF010N
1 supplier11 claims218 services$2.86 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims283 services$3.31 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers20 claims576 services$6.97 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers26 claims14,099 services$0.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Thomas Holt's NPI number?

The NPI number for Thomas Holt is 1306848494. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Thomas Holt located?

Thomas Holt practices at 629 State Highway 21 S, Hayneville, AL 36040. The listed phone number is (312) 635-0973.

What is Thomas Holt's specialty?

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

Is Thomas Holt enrolled in Medicare?

Yes. Thomas 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 Thomas Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Holt reassigns Medicare benefits to 5 organizations: Michael A Courtney, M.D. (Tallassee, AL), Alabama Post-Acute Medical Service 1 PC (Phenix City, AL), Cs Pacs 3 Southeast, LLC (Bluefield, WV), First Docs LLC (Hamilton, NJ) and Nm Pacs 2 LLC (Albuquerque, NM). 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 Thomas Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Holt accept?

Health plans from Blue Cross and Blue Shield of Alabama list Thomas 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.

When was this NPI record last updated?

The NPPES record for Thomas Holt was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.