HOWARD R HOLADAY MD
NPI 1790795110
Neurological Surgery in Jackson, MS

NPI Status: Active since August 08, 2006

Contact Information

1200 N STATE ST STE 420
JACKSON, MS
ZIP 39202
Phone: (601) 355-3353
Fax: (601) 355-3365

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  • Individual
  • Male
  • Years of Experience 40
  • Neurological Surgery
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About HOWARD HOLADAY

Howard Holaday is a provider established in Jackson, Mississippi and his medical specialization is Neurological Surgery with more than 40 years of experience. He graduated from Tulane University School Of Medicine in 1985. The healthcare provider is registered in the NPI registry with number 1790795110 assigned on August 2006. The practitioner's primary taxonomy code is 207T00000X with license number 11213 (MS). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1790795110
Provider Name
HOWARD R HOLADAY MD
Gender
Male
Entity Type
Individual
Location Address
1200 N STATE ST STE 420 JACKSON, MS 39202
Location Phone
(601) 355-3353
Location Fax
(601) 355-3365
Mailing Address
310 NORTHWIND DR BRANDON, MS 39047
Mailing Phone
(601) 842-9185
Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1985
Is Sole Proprietor?
No
Enumeration Date
08-08-2006
Last Update Date
09-07-2022
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Howard Holaday is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $31.2 for a new patient copayment and $16.88 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
11213
License State
MS
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross and Blue Shield of Alabama

    • Blue HSA Bronze - PPO
    • Blue Protect - PPO
    • Blue Saver Bronze - PPO
    • Blue Value Gold - PPO
    • Blue Value Silver - PPO
    • Blue Access Gold for Business - PPO
    • Blue Choice Platinum for Business - PPO
    • Blue HSA Silver for Business - PPO
    • Blue Saver Bronze for Business - PPO
    • Blue Saver Gold for Business - PPO
    • Blue Secure Gold for Business - PPO
    • Blue Secure Silver for Business - PPO
  • Molina Healthcare

    • Bronze 4 - HMO
    • Bronze 8 - HMO
    • Gold 1 - HMO
    • Gold 1 with Adult Vision Services - HMO
    • Gold 8 - HMO
    • Silver 1 - HMO
    • Silver 1 with Adult Vision Services - HMO
    • Silver 12 with First 4 Primary Care Visits Free - HMO
    • Silver 8 - HMO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded (No Referrals) - HMO
    • UHC Bronze Essential ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
    • UHC Bronze Standard (No Referrals) - HMO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - HMO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
    • UHC Gold Standard (No Referrals) - HMO
    • UHC Gold Value $1,500 Indiv Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
    • UHC Gold Value $2,000 Indiv Ded ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, No Referrals) - HMO
    • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) - HMO
    • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
    • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - HMO
    • UHC Silver Standard (No Referrals) - HMO
    • UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Howard Holaday is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3971555830

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20050218000516

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 39202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $124.83
  • Minimum New Patient Price $53.5
  • Maximum New Patient Price $165.08
  • Average New Patient Copayment $31.2
  • Minimum New Patient Copayment $13.37
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.54
  • Minimum Established Patient Price $16.25
  • Maximum Established Patient Price $134.74
  • Average Established Patient Copayment $16.88
  • Minimum Established Patient Copayment $4.06
  • Maximum Established Patient Copayment $33.68

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Howard Holaday is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MISSISSIPPI BAPTIST MEDICAL CENTER1225 N STATE ST
JACKSON, MS 39202
(601) 968-1000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790795110
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271801491012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 9 + 1 + 0 + 1 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1790795110 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1205206760MRS. REBECCA L ADAMS APRN
Individual
Nurse Practitioner (Family)1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353
1023202272 DEREK LETORT M.D.
Individual
Psychiatry & Neurology (Neurology)1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353
1790040533 BRIDGET DIANA JONES M.D.
Individual
Psychiatry & Neurology (Neurology)1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353
1093791220 JIMMY V WOLFE M.D.
Individual
Psychiatry & Neurology (Neurology)1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353
1205844537MS. ELIZABETH ANN WILLIAMS FNP, PMHNP
Individual
Nurse Practitioner (Family)1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353
1164616058 HELEN DENISE GIPSON FNP
Individual
Nurse Practitioner (Family)1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353
1407173453 MENARVIA NIXON GADDIS MD
Individual
Neurological Surgery1200 N STATE ST STE 420
JACKSON, MS 39202
(601) 355-3353

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790795110, enumerated in the NPI registry as an "individual" on August 08, 2006

The provider is located at 1200 N State St Ste 420 Jackson, Ms 39202 and the phone number is (601) 355-3353

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

The provider has more than 40 years of experience. He graduated from Tulane University School Of Medicine in 1985.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $124.83 with an average copayment of $31.2 for new patient appointments. Established patients should expect a typical charge of $67.54 and an average copayment of 16.88. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): MISSISSIPPI BAPTIST MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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