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MARK STEPHEN HOLDER PA-C
NPI 1659988533
Physician Assistant in Manchester, MO

Active since September 25, 2020PECOS EnrolledAccepts Medicare Assignment
54.72/100
CMS Quality Rating
13861 MANCHESTER RD, MANCHESTER, MO 63011(636) 220-9333 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mark Stephen Holder Pa-c NPPES

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

MARK STEPHEN HOLDER PA-C (NPI 1659988533) is an individual physician assistant in Manchester, Missouri, licensed in Missouri (2020032233) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659988533
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK STEPHEN HOLDERCredential: PA-C
Location Address13861 MANCHESTER RDManchester, MO 63011-4503
Mailing Address13861 Manchester RdManchester, MO 63011-4503 · (636) 220-9333
Phone(636) 220-9333
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1659988533 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 MO · 2020032233
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.
13861 MANCHESTER RD, Manchester, MO 63011
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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

Mark Stephen Holder Pa-c 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 ID1456762889
PECOS Enrollment IDI20201116001892, I20240430003363
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 4

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 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.
141 services90 patients
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.
21 services20 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
14 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63011 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

54.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality47.43
Promoting Interoperability0
Improvement Activities40
Cost84.97

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.

ANN ELIZABETH CRIBBIN
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (636) 220-1117
MAREESHA ANTE CARTER FNP-C
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (314) 482-7547
TOTAL ACCESS URGENT CARE, PC
Emergency Medicine
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (314) 961-2255
MARGARET M CONNELLY
Physician Assistant
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (636) 932-8029
AMBER ALICIA BERTOGLIO PA-C
Physician Assistant
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (618) 615-1193
TOTAL ACCESS URGENT CARE, PC
Clinic/Center (Urgent Care)
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (636) 556-0114
DR. RYAN FREDERICK THEEN DC, MSN, APRN, FNP-C
Nurse Practitioner (Family)
13861 MANCHESTER RD
MANCHESTER, MO 63011
St. Louis County (636) 220-9333
SARAH LEWIS
Nurse Practitioner (Family)
13861 MANCHESTER RD
BALLWIN, MO 63011
St. Louis County (636) 220-9333

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 Mark Holder's NPI number?

The NPI number for Mark Holder is 1659988533. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Mark Holder located?

Mark Holder practices at 13861 Manchester Rd, Manchester, MO 63011. The listed phone number is (636) 220-9333.

What is Mark Holder's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Holder enrolled in Medicare?

Yes. Mark Holder 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 Mark Holder affiliated with any hospitals?

According to CMS data, Mark Holder is affiliated with Mercy Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Mark Holder was last updated on September 25, 2020. 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.