NEAL HOLZUM MD
NPI 1326011271
Hospitalist in O Fallon, MO

Active since February 10, 2006PECOS EnrolledAccepts Medicare Assignment
2 PROGRESS POINT CT, STE 101A, O FALLON, MO 63368(636) 236-9945 Get Directions Write a Review

NPPES record last updated: November 25, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Neal Holzum Md NPPES

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

NEAL HOLZUM MD (NPI 1326011271) is an individual hospitalist provider in O Fallon, Missouri, licensed in Missouri (110686) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (1996).

NPPES Registry Identity

NPI1326011271
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameNEAL HOLZUMCredential: MD
Location Address2 PROGRESS POINT CT, STE 101AO Fallon, MO 63368-2208
Mailing AddressPo Box 1125Maryland Heights, MO 63043-0125 · (314) 432-2580 · Fax (314) 432-0223
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1996
Enumeration DateFebruary 10, 2006
Last NPPES UpdateNovember 25, 2009
NPI 1326011271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in MO · 110686
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 110686 (MO)
2 PROGRESS POINT CT, O Fallon, MO 63368

Other Identifiers 6

Medicare PINMA1399001MO
Medicare PIN000090955MO
Medicare UPINH30058MO
OtherP00664284MO · Railroad Medicare
Medicaid1326011271MO
Medicaid205262405MO

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

Neal Holzum 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 ID7416936190
PECOS Enrollment IDI20040716000000
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 4

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 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.
610 services306 patients
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.
577 services187 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
249 services220 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.
219 services192 patients

Hospital Affiliations CMS Care Compare 3

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

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish St Peters Hospital

Acute Care Hospitals · Saint Peters, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260191
Location10 Hospital DrSaint Peters, MO 63376 · St. Charles County
Emergency services

Progress West Hospital

Acute Care Hospitals · O Fallon, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260219
Location2 Progress Point PkwyO Fallon, MO 63368 · St. Charles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63368 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 16

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

Nurse Anesthetist, Certified Registered
2 PROGRESS POINT CT
O FALLON, MO 63368
Anesthesiology
2 PROGRESS POINT CT
O FALLON, MO 63368
Emergency Medicine
2 PROGRESS POINT CT
O FALLON, MO 63368
Anesthesiology
2 PROGRESS POINT CT
O FALLON, MO 63368
Emergency Medicine
2 PROGRESS POINT CT
O FALLON, MO 63368
Internal Medicine
2 PROGRESS POINT CT
O FALLON, MO 63368
Internal Medicine
2 PROGRESS POINT CT, SUITE 101E
O FALLON, MO 63368
Emergency Medicine
2 PROGRESS POINT CT
O FALLON, MO 63368

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 Neal Holzum's NPI number?

The NPI number for Neal Holzum is 1326011271. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Neal Holzum located?

Neal Holzum practices at 2 Progress Point Ct Ste 101A, O Fallon, MO 63368. The listed phone number is (636) 236-9945.

What is Neal Holzum's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Neal Holzum enrolled in Medicare?

Yes. Neal Holzum 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 Neal Holzum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Neal Holzum 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 Neal Holzum affiliated with any hospitals?

According to CMS data, Neal Holzum is affiliated with Missouri Baptist Medical Center, Barnes-Jewish St Peters Hospital and Progress West Hospital.

When was this NPI record last updated?

The NPPES record for Neal Holzum was last updated on November 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.