ERNEST SAMUEL HOLMES IV MD
NPI 1316977804
Pediatrics in Neosho, MO

Q: What is Ernest Holmes's NPI number?

The NPI number for Ernest Holmes is 1316977804. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Ernest Holmes's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ernest Holmes was last updated on February 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 03, 2006PECOS Enrolled

336 S JEFFERSON ST, NEOSHO, MO 64850(417) 451-0778(417) 451-0779 Get Directions Write a Review

NPPES record last updated: February 17, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Ernest Samuel Holmes Iv Md NPPES

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

ERNEST SAMUEL HOLMES IV MD (NPI 1316977804) is an individual pediatrics provider in Neosho, Missouri, licensed in Missouri (115096) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316977804

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameERNEST SAMUEL HOLMES IVCredential: MD

Location Address336 S JEFFERSON STNeosho, MO 64850-1769

Mailing AddressPo Box 3810Joplin, MO 64803 · (417) 451-0778 · Fax (417) 451-0779

Phone(417) 451-0778

Fax(417) 451-0779

Sole ProprietorNo

Enumeration DateJuly 3, 2006

Last NPPES UpdateFebruary 17, 2011

✔ NPI 1316977804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 115096

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

336 S JEFFERSON ST, Neosho, MO 64850

Open in Google Maps ↗

Other Identifiers 5

Medicaid203756804MO

Medicaid100149160AOK

Medicare UPINC17051

Medicaid100317780AKS

Other115234MO · Anthem

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ernest Samuel Holmes Iv Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Ernest Holmes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Freeman Neosho Hospital

Same address

Internal Medicine

336 S JEFFERSON ST
Neosho, MO 64850

Reassigned Medicare billing, Missouri enrollment
65 clinicians in this Medicare group

NPI 1083045686 (417) 347-6605

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64850 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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.

DR. GERALD WAYNE ENGLUND D.O.

Obstetrics & Gynecology (Gynecology)