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ANTHONY AUSTIN HOLDEN MD
NPI 1720086606
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Macon, GA

Active since July 13, 2005PECOS EnrolledAccepts Medicare Assignment
575 1ST ST, MACON, GA 31201(478) 743-9762(478) 743-9465 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2023, Apr 14, 2023, Oct 27, 2020 and 2 more (5 updates tracked since 2019).

About Anthony Austin Holden Md NPPES

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

ANTHONY AUSTIN HOLDEN MD (NPI 1720086606) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Macon, Georgia, licensed in Georgia (95819) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Northeastern Ohio University College Of Medicine (1992).

NPPES Registry Identity

NPI1720086606
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameANTHONY AUSTIN HOLDENCredential: MD
Location Address575 1ST STMacon, GA 31201-2825
Mailing Address575 1st StMacon, GA 31201-2825 · (478) 743-9762 · Fax (478) 743-9465
Phone(478) 743-9762
Fax(478) 743-9465
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1992
Enumeration DateJuly 13, 2005
Last NPPES UpdateSeptember 20, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
✔ NPI 1720086606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in GA · 95819✔ Licensed in LA · 335508✔ Licensed in FL · ME138978✔ Licensed in TN · 45381
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 335508 (LA)
575 1ST ST, Macon, GA 31201
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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

Anthony Austin Holden 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 ID4183605439
PECOS Enrollment IDI20230721001945
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 5

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.
42 services28 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
23 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 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.
15 services15 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.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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
$164.04 typical visit price
range $53.31 – $164.04
Typical copayment $41.01 (range $13.32 – $41.01)
Most-billed visit code 99205
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.

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.

MACON CARDIOVASCULAR INSTITUTE
Surgery
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. RANDALL B BROWN M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. MAURICE M SOLIS M.D.
Surgery (Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
DR. JAMES L FOSTER JR. M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
GAIL A. KLINE NP-C
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 742-7566
CHRISTY REBECCA ETHERIDGE FNP
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
MELISSA C. MCPHAIL FNP-BC
Nurse Practitioner (Family)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762
PATRICK KOHTZ M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
575 1ST ST
MACON, GA 31201
Bibb County (478) 743-9762

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 Anthony Holden's NPI number?

The NPI number for Anthony Holden is 1720086606. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Anthony Holden located?

Anthony Holden practices at 575 1st St, Macon, GA 31201. The listed phone number is (478) 743-9762.

What is Anthony Holden's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Anthony Holden enrolled in Medicare?

Yes. Anthony Holden 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.

What insurance does Anthony Holden accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Anthony Holden 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.

Is Anthony Holden affiliated with any hospitals?

According to CMS data, Anthony Holden is affiliated with Houston Healthcare and Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Holden was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.