JOSHUA HOLT DO
NPI 1609439819
Internal Medicine in Somerset, KY

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
85.61/100
CMS Quality Rating
303 LANGDON ST, SOMERSET, KY 42503(606) 679-7441 Get Directions Write a Review

NPPES record last updated: April 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joshua Holt Do NPPES

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

JOSHUA HOLT DO (NPI 1609439819) is an individual internal medicine provider in Somerset, Kentucky, licensed in Kentucky (05053) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Lexington, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609439819
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSHUA HOLTCredential: DO
Location Address303 LANGDON STSomerset, KY 42503-2750
Mailing Address303 Langdon StSomerset, KY 42503-2750
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 15, 2019
Last NPPES UpdateApril 3, 2022
NPPES CertifiedApril 3, 2022
NPI 1609439819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 05053
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

303 LANGDON ST, Somerset, KY 42503

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

Joshua Holt Do 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 ID5092197624
PECOS Enrollment IDI20220729000404
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 8

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

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
193 services95 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
140 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
114 services111 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
92 services89 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Lake Cumberland Regional Hospital

Acute Care Hospitals · Somerset, KY
2/5 CMS rating
OwnershipProprietary
CMS Certification Number180132
Location305 Langdon StreetSomerset, KY 42503 · Pulaski County
Emergency services Birthing friendly

Wayne County Hospital

Critical Access Hospitals · Monticello, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181321
Location166 Hospital StreetMonticello, KY 42633 · Wayne County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

The Medical Center At Albany

Critical Access Hospitals · Albany, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181333
Location723 Burkesville RoadAlbany, KY 42602 · Clinton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42503 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

85.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.25
Improvement Activities40
Cost73.25

Other Providers at the Same Location NPPES 14

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

Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Internal Medicine
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503
Family Medicine
303 LANGDON ST
SOMERSET, KY 42503
Student in an Organized Health Care Education/Training Program
303 LANGDON ST
SOMERSET, KY 42503

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 Joshua Holt's NPI number?

The NPI number for Joshua Holt is 1609439819. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Joshua Holt located?

Joshua Holt practices at 303 Langdon St, Somerset, KY 42503. The listed phone number is (606) 679-7441.

What is Joshua Holt's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Joshua Holt enrolled in Medicare?

Yes. Joshua Holt 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 Joshua Holt affiliated with any hospitals?

According to CMS data, Joshua Holt is affiliated with Baptist Health Lexington, Lake Cumberland Regional Hospital, Wayne County Hospital, Russell County Hospital and The Medical Center At Albany.

When was this NPI record last updated?

The NPPES record for Joshua Holt was last updated on April 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.