HERBERT K HOLDSAMBECK MD
NPI 1649251216
Family Medicine in Huntsville, AL

Active since November 09, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 01D0888338 · Microscopy
19.77/100
CMS Quality Rating
420 LOWELL DR SE, STE 403, HUNTSVILLE, AL 35801(256) 535-5980(256) 535-5983 Get Directions Write a Review

NPPES record last updated: December 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Herbert K Holdsambeck Md NPPES

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

HERBERT K HOLDSAMBECK MD (NPI 1649251216) is an individual family medicine provider in Huntsville, Alabama, licensed in Alabama (10399) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through May 17, 2027, and is a graduate of University Of Florida College Of Medicine (1981).

NPPES Registry Identity

NPI1649251216
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameHERBERT K HOLDSAMBECKCredential: MD
Location Address420 LOWELL DR SE, STE 403Huntsville, AL 35801-3754
Mailing Address420 Lowell Dr Se, Ste 103Huntsville, AL 35801-3754 · (256) 535-5940 · Fax (256) 535-5954
Fax(256) 535-5983
Sole ProprietorYes
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1981
Enumeration DateNovember 9, 2005
Last NPPES UpdateDecember 7, 2009
NPI 1649251216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in AL · 10399
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.
420 LOWELL DR SE, Huntsville, AL 35801

Other Identifiers 7

Medicare UPINC72361
Medicare PIN000016799AL
Other110019467Railroad Medicare
Other0004003561Aetna
Other510 16799AL · Blue Cross Blue Shield
Medicaid000016799AL
Other63 0969203Tax Identification No

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

Herbert K Holdsambeck 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 ID1557326618
PECOS Enrollment IDI20041130000949
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 01D0888338

Herbert K Holdsambeck MD · Huntsville, AL
Active · expires May 17, 2027
CLIA Number01D0888338
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2025
Certificate Expiration DateMay 17, 2027
Laboratory DirectorHerbert K. Holdsambeck
Laboratory Phone(256) 535-5980
Laboratory LocationHerbert K Holdsambeck MD420 Lowell Drive Ste 403, Huntsville, AL 35801
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Areas of Expertise CMS Part B claims 15

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
294 services149 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
237 services85 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
156 services81 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
115 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
102 services102 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
68 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35801 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

19.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost65.9

Referred Medical Equipment & Supplies CMS DME claims 16

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

Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4311
DME-Orthotic Devices · category DF000N
1 supplier15 claims15 services$12.39 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier51 claims51 services$18.94 avg. paid by Medicare
Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), each A4340
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$27.82 avg. paid by Medicare
Insertion tray with drainage bag but without catheter A4354
DME-Medical/Surgical Supplies · category DA000N
1 supplier19 claims19 services$10.82 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
1 supplier75 claims90 services$8.43 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier15 claims30 services$5.21 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 20

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

Obstetrics & Gynecology (Hospice and Palliative Medicine)
420 LOWELL DR SE, SUITE 400
HUNTSVILLE, AL 35801
Internal Medicine (Gastroenterology)
420 LOWELL DR SE, SUITE 204
HUNTSVILLE, AL 35801
Internal Medicine
420 LOWELL DR SE, SUITE 300
HUNTSVILLE, AL 35801
Internal Medicine (Infectious Disease)
420 LOWELL DR SE, SUITE 301
HUNTSVILLE, AL 35801
Internal Medicine
420 LOWELL DR SE, SUITE 103
HUNTSVILLLE, AL 35801
Internal Medicine
420 LOWELL DR SE, SUITE 200
HUNTSVILLE, AL 35801
Internal Medicine
420 LOWELL DR SE, SUITE 106
HUNTSVILLE, AL 35801
Internal Medicine
420 LOWELL DR SE
HUNTSVILLE, AL 35801

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 Herbert Holdsambeck's NPI number?

The NPI number for Herbert Holdsambeck is 1649251216. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Herbert Holdsambeck located?

Herbert Holdsambeck practices at 420 Lowell Dr SE Ste 403, Huntsville, AL 35801. The listed phone number is (256) 535-5980.

What is Herbert Holdsambeck's specialty?

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

Is Herbert Holdsambeck enrolled in Medicare?

Yes. Herbert Holdsambeck 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.

Does Herbert Holdsambeck hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 01D0888338) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Herbert Holdsambeck accept?

Health plans from Blue Cross and Blue Shield of Alabama list Herbert Holdsambeck 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.

When was this NPI record last updated?

The NPPES record for Herbert Holdsambeck was last updated on December 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.