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NATHANIEL HOLMES MD
NPI 1801868187
Surgery in Staten Island, NY

Active since February 02, 2006PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
256 MASON AVE # C, STATEN ISLAND, NY 10305(718) 226-6398(718) 226-1247 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathaniel Holmes Md NPPES

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

NATHANIEL HOLMES MD (NPI 1801868187) is an individual surgery provider in Staten Island, New York, licensed in New Jersey (208C00000X) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Jersey City.

NPPES Registry Identity

NPI1801868187
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNATHANIEL HOLMESCredential: MD
Location Address256 MASON AVE # CStaten Island, NY 10305-3408
Mailing AddressPo Box 23831Newark, NJ 07189-0001 · (973) 971-5595
Phone(718) 226-6398
Fax(718) 226-1247
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateFebruary 2, 2006
Last NPPES UpdateMarch 17, 2018
✔ NPI 1801868187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · 208C00000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
256 MASON AVE # C, Staten Island, NY 10305
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Secondary Practice Location 1

Location 1355 Grand Street, Jersey City Medical CenterJersey City, NJ 07302 · Phone (201) 915-2453 · Fax (201) 915-2192

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

Nathaniel Holmes 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 ID5991747693
PECOS Enrollment IDI20050524000058
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 6

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.

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.
110 services37 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.
78 services49 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
55 services39 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.
45 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10305 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Referred Medical Equipment & Supplies CMS DME claims 6

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier13 claims380 services$3.36 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
1 supplier12 claims12 services$3.53 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier17 claims160 services$2.50 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier15 claims36 services$5.54 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier23 claims240 services$7.77 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier16 claims270 services$3.46 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 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS ALLISON EDWARDS L.M.S.W.
Social Worker
256 MASON AVE # C, DEPARTMENT OF REHAB MEDICINE, PEDIATRIC REHAB
STATEN ISLAND, NY 10305
Richmond County (718) 226-6380
YASMIN EUTON
Nurse Practitioner (Family)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (182) 266-2317
JESSICA LI
Dentist (Oral and Maxillofacial Surgery)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-1251
DR. QUSAI HAMMOURI MBBS MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-1249
ANGELA DIMEGLIO MS CCC SLP
Speech-Language Pathologist
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6504
OLGA MOTORINA ACNP
Nurse Practitioner (Acute Care)
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-6182
MRS. NANCY J DAVIS OTR
Occupational Therapist (Pediatrics)
256 MASON AVE # C, PEDIATRIC REHAB 1ST FLOOR
STATEN ISLAND, NY 10305
Richmond County (718) 226-6916
MRS. MICHELLE ROSALIE VAL-BASKIN M.S., CCC-SLP
Speech-Language Pathologist
256 MASON AVE # C
STATEN ISLAND, NY 10305
Richmond County (718) 226-5998

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 Nathaniel Holmes's NPI number?

The NPI number for Nathaniel Holmes is 1801868187. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Where is Nathaniel Holmes located?

Nathaniel Holmes practices at 256 Mason Ave # C, Staten Island, NY 10305. The listed phone number is (718) 226-6398.

What is Nathaniel Holmes's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nathaniel Holmes enrolled in Medicare?

Yes. Nathaniel Holmes 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.

Is Nathaniel Holmes affiliated with any hospitals?

According to CMS data, Nathaniel Holmes is affiliated with Raritan Bay Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Nathaniel Holmes was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.