DR. GRADY MICHAEL HOLDER MD
NPI 1366543902
Family Medicine in Arvada, CO

Q: What is Grady Holder's NPI number?

The NPI number for Grady Holder is 1366543902. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Mr. Michael Holder MD.

Q: What is Grady Holder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Grady Holder was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 26, 2006PECOS Enrolled

11005 RALSTON RD, SUITE 100G, ARVADA, CO 80004(303) 431-0844(303) 456-6124 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Grady Michael Holder Md NPPES

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

DR. GRADY MICHAEL HOLDER MD (NPI 1366543902) is an individual family medicine provider in Arvada, Colorado, licensed in Colorado (DR.0028219) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366543902

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. GRADY MICHAEL HOLDERCredential: MD

Location Address11005 RALSTON RD, SUITE 100GArvada, CO 80004-4551

Mailing Address3701 S BroadwayEnglewood, CO 80113-3611 · (303) 360-6276 · Fax (303) 467-5355

Phone(303) 431-0844

Fax(303) 456-6124

Sole ProprietorNo

Enumeration DateSeptember 26, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1366543902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CO · DR.0028219

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.

11005 RALSTON RD, Arvada, CO 80004

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Other Names 1

Other Name (5)Mr. Michael Holder Md

Other Identifiers 2

Medicaid01282193CO

Other10354697CO · Caqh

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grady Michael Holder 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 Grady Holder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Metro Community Provider Network Inc

Same address

Federally Qualified Health Center (FQHC)

11005 RALSTON ROAD, SUITE 100-G
Arvada, CO 80004

Reassigned Medicare billing, Colorado enrollment
125 clinicians in this Medicare group

NPI 1376701300 (303) 360-6276

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 80004 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Male external catheter, with or without adhesive, disposable, each A4349

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims420 services$1.94 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier11 claims1,650 services$1.49 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier11 claims22 services$6.41 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 6

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

TAMMY THI DO RDH

Dental Hygienist

11005 RALSTON RD, SUITE 202
ARVADA, CO 80004

Jefferson County (303) 360-6276

DR. LARRY D WARD D.D.S

Dentist (General Practice)

11005 RALSTON RD
ARVADA, CO 80004

Jefferson County (303) 423-4198

DIANE BARNES N.P.

Nurse Practitioner

11005 RALSTON RD, SUITE 100 - G
ARVADA, CO 80004

Jefferson County (303) 431-0844

MEGHAN CITO LCSW

Social Worker (Clinical)

11005 RALSTON RD
ARVADA, CO 80004

Jefferson County (303) 431-0844

MS. DOLORES ANNE SANGIULIANO RN

Registered Nurse

11005 RALSTON RD
ARVADA, CO 80004

Jefferson County (303) 431-0844

LINDSEY RENEE RUSHTON RDH

Dental Hygienist

11005 RALSTON RD, STE. 210
ARVADA, CO 80004

Jefferson County (303) 761-1977

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 Grady Holder's NPI number?

The NPI number for Grady Holder is 1366543902. It was assigned to this individual provider in the NPPES registry on September 26, 2006. The provider is also known as Mr. Michael Holder MD.

Where is Grady Holder located?

Grady Holder practices at 11005 Ralston Rd Suite 100G, Arvada, CO 80004. The listed phone number is (303) 431-0844.

What is Grady Holder's specialty?

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

Is Grady Holder enrolled in Medicare?

Yes. Grady Holder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grady Holder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grady Holder reassigns Medicare benefits to Metro Community Provider Network Inc (Arvada, CO). The 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 Grady Holder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grady Holder was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.