THERESA HOLDEN
NPI 1417621004
Physician Assistant in Waterville, ME

Active since August 06, 2021PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
149 NORTH ST, WATERVILLE, ME 04901(207) 861-5000(207) 861-5001 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theresa Holden NPPES

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

THERESA HOLDEN (NPI 1417621004) is an individual physician assistant in Waterville, Maine, licensed in Maine (PA2206) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of University Of New England, College Of Osteo Medicine (2021).

NPPES Registry Identity

NPI1417621004
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA HOLDEN
Location Address149 NORTH STWaterville, ME 04901-4974
Mailing Address149 North StWaterville, ME 04901-4974 · (207) 861-5000 · Fax (207) 861-5001
Fax(207) 861-5001
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 2021
Enumeration DateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
NPI 1417621004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ME · PA2206
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

149 NORTH ST, Waterville, ME 04901

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

Theresa Holden 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 ID2466857297
PECOS Enrollment IDI20210817003075
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services72 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
63 services45 patients

Hospital Affiliations CMS Care Compare

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

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04901 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

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.

Radiology (Diagnostic Radiology)
149 NORTH ST
WATERVILLE, ME 04901
Radiology (Diagnostic Radiology)
149 NORTH ST
WATERVILLE, ME 04901
Emergency Medicine
149 NORTH ST
WATERVILLE, ME 04901
Internal Medicine (Nephrology)
149 NORTH ST, MGHA HOSPITALIST PROGRAM
WATERVILLE, ME 04901
Physician Assistant
149 NORTH ST
WATERVILLE, ME 04901
Emergency Medicine
149 NORTH ST
WATERVILLE, ME 04901
Emergency Medicine
149 NORTH ST
WATERVILLE, ME 04901
Psychiatry & Neurology (Psychiatry)
149 NORTH ST
WATERVILLE, ME 04901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417621004, enumerated as an "individual" on August 06, 2021.

The provider is located at 149 NORTH ST WATERVILLE, ME 04901 and the phone number is (207) 861-5000.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield. Please consult your insurance carrier or call the provider to verify.

Theresa Holden is affiliated with: MAINE GENERAL MEDICAL CENTER.