JONATHAN LYLE HOLT MD
NPI 1457989238
Physical Medicine & Rehabilitation - Pain Medicine in Waco, TX

Q: What is Jonathan Holt's NPI number?

The NPI number for Jonathan Holt is 1457989238. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Q: What is Jonathan Holt's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Holt was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 29, 2020PECOS EnrolledAccepts Medicare Assignment

3500 HILLCREST DR STE 1, WACO, TX 76708(254) 741-6641(254) 537-4693 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Jun 25, 2024, Mar 29, 2020 (3 updates tracked since 2020).

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About Jonathan Lyle Holt Md NPPES

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

JONATHAN LYLE HOLT MD (NPI 1457989238) is an individual pain medicine provider in Waco, Texas, licensed in Texas (V8284) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence, and maintains a secondary practice location in Round Rock.

NPPES Registry Identity

NPI1457989238

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameJONATHAN LYLE HOLTCredential: MD

Location Address3500 HILLCREST DR STE 1Waco, TX 76708-3144

Mailing Address101 W Louis Henna Blvd Ste 300Austin, TX 78728-1203 · (512) 244-4272 · Fax (512) 593-4444

Phone(254) 741-6641

Fax(254) 537-4693

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 2020

Enumeration DateMarch 29, 2020

Last NPPES UpdateJuly 3, 20253 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1457989238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

Licenses✔ Licensed in TX · V8284✔ Licensed in NV · 25674

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

3500 HILLCREST DR STE 1, Waco, TX 76708

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Secondary Practice Location 1

Location 12000 S Mays St Ste 201Round Rock, TX 78664-7580 · Phone (512) 244-4272 · Fax (512) 244-2895

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Jonathan Lyle Holt 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 ID4284059494

PECOS Enrollment IDI20250725002445

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 2

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

Ascension Providence

Acute Care Hospitals · Waco, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450042

Location6901 Medical ParkwayWaco, TX 76712 · Mc Lennan County

Emergency services Birthing friendly

Limestone Medical Center

Critical Access Hospitals · Groesbeck, TX

OwnershipGovernment - Hospital District or Authority

CMS Certification Number451303

Location701 Mcclintic DriveGroesbeck, TX 76642 · Limestone County

Emergency services

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier23 claims23 services$37.88 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier24 claims24 services$13.61 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

1 supplier19 claims19 services$7.22 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 13

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

MRS. HADASSAH LEMORAH MATTHEWS APRN, FNP-C

Nurse Practitioner (Family)