MARK IRVIN HOLUB MD
NPI 1720038714
Psychiatry & Neurology - Psychiatry in St Cloud, MN

Q: What is Mark Holub's NPI number?

The NPI number for Mark Holub is 1720038714. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Mark Holub's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Mark Holub was last updated on December 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 11, 2006PECOS Enrolled

1406 6TH AVE N, ST CLOUD, MN 56303(320) 251-2700(320) 656-7026 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mark Irvin Holub Md NPPES

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

MARK IRVIN HOLUB MD (NPI 1720038714) is an individual psychiatry provider in St Cloud, Minnesota, licensed in Minnesota (33545) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720038714

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMARK IRVIN HOLUBCredential: MD

Location Address1406 6TH AVE NSt Cloud, MN 56303

Mailing Address1406 6th Ave NSt Cloud, MN 56303 · (320) 251-2700 · Fax (320) 656-7026

Phone(320) 251-2700

Fax(320) 656-7026

Sole ProprietorNo

Enumeration DateMay 11, 2006

Last NPPES UpdateDecember 21, 2012

✔ NPI 1720038714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MN · 33545

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1406 6TH AVE N, St Cloud, MN 56303

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Other Identifiers 3

Medicare ID-Type Unspecified260001296MN

Medicaid826305100MN

Medicare UPINF37228

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Irvin Holub Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Mark Holub reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Cloud Hospital

Same address

General Acute Care Hospital

1406 6TH AVE NORTH
Saint Cloud, MN 56303

Reassigned Medicare billing, Minnesota enrollment
415 clinicians in this Medicare group

NPI 1043269798 (320) 307-3676

Centracare Health System-Nr LLC

27 mi

Critical Access

1013 HART BLVD
Monticello, MN 55362

Reassigned Medicare billing, Minnesota enrollment
285 clinicians in this Medicare group

NPI 1275872772 (763) 295-2945

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56303 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

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

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.

MARY ELIZABETH AMUNDSON APRN, CNP

Pediatrics