MARK JAY HOLZBERG M.D.
NPI 1669456661
Dermatology - Procedural Dermatology in Newnan, GA

Q: What is the provider's specialty?

The provider's specialty is Dermatology with taxonomy code 207NS0135X and a focus in Procedural Dermatology.

Active since December 02, 2005PECOS EnrolledAccepts Medicare Assignment

85.66/100

CMS Quality Rating

710 NEWNAN CROSSING BYPASS, SUITE A, NEWNAN, GA 30263(770) 251-5111(770) 254-8680 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Jay Holzberg M.d. NPPES

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

MARK JAY HOLZBERG M.D. (NPI 1669456661) is an individual procedural dermatology provider in Newnan, Georgia, licensed in Georgia (029001) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1983).

NPPES Registry Identity

NPI1669456661

Entity TypeIndividualMale

Primary Taxonomy207NS0135X

Provider Legal NameMARK JAY HOLZBERGCredential: M.D.

Location Address710 NEWNAN CROSSING BYPASS, SUITE ANewnan, GA 30263-2321

Mailing Address7300 Ranch Road 2222, Building 1, Ste 200Austin, TX 78730 · (512) 628-0465 · Fax (512) 233-2711

Phone(770) 251-5111

Fax(770) 254-8680

Sole ProprietorNo

Medical School CMSEmory University School Of MedicineGraduated 1983

Enumeration DateDecember 2, 2005

Last NPPES UpdateMarch 31, 2023

NPPES CertifiedMarch 31, 2023

✔ NPI 1669456661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207NS0135X

License✔ Licensed in GA · 029001

Definition

Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).

Also ListedDermatologyTaxonomy 207N00000X · License 029001 (GA)

710 NEWNAN CROSSING BYPASS, Newnan, GA 30263

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Other Identifiers 6

Other0306450GA · Uhc

Medicaid000310043IGA

Other4118834GA · Atena Non-hmo

Other0403543006GA · Cigna Hmo

Other2034373GA · Aetna Hmo

Other070012762GA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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

Mark Jay Holzberg 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 ID6709788086

PECOS Enrollment IDI20070717000164

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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

540 services103 patients

Established patient office or other outpatient visit, 20-29 minutes 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.

249 services199 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

163 services137 patients

Established patient office or other outpatient visit, 10-19 minutes 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

112 services96 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

57 services54 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30263 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

85.66/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.74

Promoting Interoperability

Improvement Activities

Cost

74.14

Reported Quality Measures

Biopsy Follow-Up

Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician

100%22 patients5/55-star benchmark: 100%

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%502 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

97%329 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

87%489 patients4/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

79%803 patients4/55-star benchmark: 95%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

87%489 patients4/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%489 patients1/55-star benchmark: 79%

Tobacco Use and Help with Quitting Among Adolescents

The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user

100%61 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

ELISE G DAVIES M.M.SC., P.A.-C

Physician Assistant