MATTHEW ANDERS HOLMES M.D.
NPI 1801187315
Family Medicine in Duluth, MN

Q: What is Matthew Holmes's NPI number?

The NPI number for Matthew Holmes is 1801187315. It was assigned to this individual provider in the NPPES registry on May 2, 2011.

Q: What is Matthew Holmes's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Holmes was last updated on December 19, 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 02, 2011PECOS EnrolledAccepts Medicare Assignment

330 N 8TH AVE E, DULUTH, MN 55805(218) 723-1112(218) 529-9120 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Matthew Anders Holmes M.d. NPPES

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

MATTHEW ANDERS HOLMES M.D. (NPI 1801187315) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (55316) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (2011).

NPPES Registry Identity

NPI1801187315

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMATTHEW ANDERS HOLMESCredential: M.D.

Location Address330 N 8TH AVE EDuluth, MN 55805-2024

Mailing Address330 N 8th Ave EDuluth, MN 55805-2024 · (218) 723-1112 · Fax (218) 529-9120

Phone(218) 723-1112

Fax(218) 529-9120

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2011

Enumeration DateMay 2, 2011

Last NPPES UpdateDecember 19, 2012

✔ NPI 1801187315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 55316

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.

330 N 8TH AVE E, Duluth, MN 55805

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Other Identifiers 5

Medicaid1801187315MN

Medicare PIN080022517MN

OtherP01099783Rr Medicare

Other0001-0100288Medica

Other1801187315MN · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Security 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 and accepts Medicare assignment

Matthew Anders Holmes 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 ID5092962522

PECOS Enrollment IDI20120905000669

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 Matthew Holmes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duluth Graduate Medical Education Council Inc

Same address

Family Medicine

330 N 8TH AVE E
Duluth, MN 55805

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

NPI 1972585867 (218) 723-1112

Cook Area Health Services, Inc

40 mi

Clinic/Center

810 POPLAR ST
Floodwood, MN 55736

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

NPI 1174596027 (218) 476-2221

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

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.

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

75 services71 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

43 services40 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

19 services12 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

18 services16 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Cook Hospital

Critical Access Hospitals · Cook, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241312

Location10 SE Fifth StCook, MN 55723 · St. Louis County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers18 claims79 services$5.37 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KYLIE ELIZABETH KRAFT MD

Family Medicine