MATTHEW WILLIAM HOLDEN M.D.
NPI 1578913265
Family Medicine in Ludington, MI

Active since June 14, 2016PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
922 LAWNDALE ST, LUDINGTON, MI 49431(231) 845-7380 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2021, Aug 5, 2019, Jun 14, 2016 (3 updates tracked since 2016).

About Matthew William Holden M.d. NPPES

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

MATTHEW WILLIAM HOLDEN M.D. (NPI 1578913265) is an individual family medicine provider in Ludington, Michigan, licensed in Michigan (4301109644) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1578913265
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMATTHEW WILLIAM HOLDENCredential: M.D.
Location Address922 LAWNDALE STLudington, MI 49431-1928
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2016
Enumeration DateJune 14, 2016
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1578913265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301109644
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.
922 LAWNDALE ST, Ludington, MI 49431

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

Matthew William Holden M.d. 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 ID4284922642
PECOS Enrollment IDI20190829000807
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.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49431 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers40 claims114 services$5.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers18 claims23 services$0.88 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers20 claims20 services$51.22 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers30 claims30 services$19.13 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$108.48 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers19 claims19 services$7.91 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.

Physician Assistant
922 LAWNDALE ST
LUDINGTON, MI 49431
Physician Assistant
922 LAWNDALE ST
LUDINGTON, MI 49431
Family Medicine
922 LAWNDALE ST
LUDINGTON, MI 49431
Family Medicine
922 LAWNDALE ST
LUDINGTON, MI 49431
Nurse Practitioner (Family)
922 LAWNDALE ST
LUDINGTON, MI 49431
Clinic/Center (Rural Health)
922 LAWNDALE ST
LUDINGTON, MI 49431
Family Medicine
922 LAWNDALE ST
LUDINGTON, MI 49431
Internal Medicine
922 LAWNDALE ST
LUDINGTON, MI 49431

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 Matthew Holden's NPI number?

The NPI number for Matthew Holden is 1578913265. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Matthew Holden located?

Matthew Holden practices at 922 Lawndale St, Ludington, MI 49431. The listed phone number is (231) 845-7380.

What is Matthew Holden's specialty?

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

Is Matthew Holden enrolled in Medicare?

Yes. Matthew Holden 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 Matthew Holden accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Matthew Holden 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 Matthew Holden affiliated with any hospitals?

According to CMS data, Matthew Holden is affiliated with Spectrum Health and Corewell Health Ludington Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Holden was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.