MICHAEL THOMAS HOLCOMB MD
NPI 1396495099
Family Medicine in Central Square, NY

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
3045 EAST AVE STE G400, CENTRAL SQUARE, NY 13036(315) 675-9200(315) 630-3168 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Thomas Holcomb Md NPPES

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

MICHAEL THOMAS HOLCOMB MD (NPI 1396495099) is an individual family medicine provider in Central Square, New York, licensed in New York (339301) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1396495099
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL THOMAS HOLCOMBCredential: MD
Location Address3045 EAST AVE STE G400Central Square, NY 13036-2611
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6564
Fax(315) 630-3168
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1396495099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 339301
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 64611 (NY)
3045 EAST AVE STE G400, Central Square, NY 13036

Secondary Practice Locations 5

Location 15856 Scenic AveMexico, NY 13114-3012 · Phone (315) 963-4133 · Fax (315) 963-4960
Location 27 Bridge StPhoenix, NY 13135-1906 · Phone (315) 695-4700 · Fax (315) 695-4706
Location 361 Delano StPulaski, NY 13142-1400 · Phone (315) 298-6564 · Fax (315) 298-3968
Location 4510 S 4th St Ste 600Fulton, NY 13069-2952 · Phone (315) 598-4790 · Fax (315) 593-6195
Location 5120 E 1st StOswego, NY 13126-2111 · Phone (315) 342-0880 · Fax (315) 593-6195

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

Michael Thomas Holcomb 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 ID9133625700
PECOS Enrollment IDI20251002000873
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.

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13036 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

Nurse Practitioner (Family)
3045 EAST AVE STE G400
CENTRAL SQUARE, NY 13036
Nurse Practitioner
3045 EAST AVE STE G400
CENTRAL SQUARE, NY 13036
Nurse Practitioner (Family)
3045 EAST AVE STE G400
CENTRAL SQUARE, NY 13036
Nurse Practitioner (Family)
3045 EAST AVE STE G400
CENTRAL SQUARE, NY 13036

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 Michael Holcomb's NPI number?

The NPI number for Michael Holcomb is 1396495099. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Michael Holcomb located?

Michael Holcomb practices at 3045 East Ave Ste G400, Central Square, NY 13036. The listed phone number is (315) 675-9200.

What is Michael Holcomb's specialty?

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

Is Michael Holcomb enrolled in Medicare?

Yes. Michael Holcomb 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.

Is Michael Holcomb affiliated with any hospitals?

According to CMS data, Michael Holcomb is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Michael Holcomb was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.