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MARK E. HOLTHOUSE M.D.
NPI 1740217207
Family Medicine in Cameron Park, CA

Active since June 28, 2006Opted out of Medicare · through Jul 1, 2028
3104 PONTE MORINO DRIVE, STE 110, CAMERON PARK, CA 95682(530) 676-1003(530) 676-7350 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mark E. Holthouse M.d. NPPES

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

MARK E. HOLTHOUSE M.D. (NPI 1740217207) is an individual family medicine provider in Cameron Park, California, licensed in California (G757170) and active in the NPI registry since June 2006. He has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740217207
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK E. HOLTHOUSECredential: M.D.
Location Address3104 PONTE MORINO DRIVE, STE 110Cameron Park, CA 95682
Mailing Address3104 Ponte Morino Dr Ste 110Cameron Park, CA 95682-8282 · (530) 676-1003 · Fax (530) 676-7350
Phone(530) 676-1003
Fax(530) 676-7350
Sole ProprietorYes
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 3, 2008
✔ NPI 1740217207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G757170
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.
3104 PONTE MORINO DRIVE, Cameron Park, CA 95682
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Other Identifiers 3

Medicare UPING23462CA
Medicare ID-Type Unspecified00G757170CA
MedicaidGR0070790CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mark E. Holthouse M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2018 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2018
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95682 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

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 Holthouse's NPI number?

The NPI number for Mark Holthouse is 1740217207. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Mark Holthouse located?

Mark Holthouse practices at 3104 Ponte Morino Drive Ste 110, Cameron Park, CA 95682. The listed phone number is (530) 676-1003.

What is Mark Holthouse's specialty?

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

Is Mark Holthouse enrolled in Medicare?

No. Mark Holthouse has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Mark Holthouse accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Mark Holthouse 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 Mark Holthouse was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.