MR. THARON B. HOLMBERG CRNP
NPI 1871741785
Nurse Practitioner - Adult Health in Buffalo, NY

Q: What is Tharon Holmberg's NPI number?

The NPI number for Tharon Holmberg is 1871741785. It was assigned to this individual provider in the NPPES registry on September 4, 2008.

Q: What is Tharon Holmberg's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Tharon Holmberg was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 04, 2008PECOS EnrolledAccepts Medicare Assignment

701 SENECA ST STE 646C, BUFFALO, NY 14210(716) 995-4450 Get Directions Write a Review

NPPES record last updated: September 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2022, Feb 23, 2016 (2 updates tracked since 2016).

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About Mr. Tharon B. Holmberg Crnp NPPES

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

MR. THARON B. HOLMBERG CRNP (NPI 1871741785) is an individual adult health provider in Buffalo, New York, licensed in New York (307563) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871741785

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. THARON B. HOLMBERGCredential: CRNP

Location Address701 SENECA ST STE 646CBuffalo, NY 14210-1372

Mailing Address1 Penn Plz, 8th FloorNew York, NY 10119-0002 · (570) 452-2138

Phone(716) 995-4450

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 4, 2008

Last NPPES UpdateSeptember 16, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 16, 2022

✔ NPI 1871741785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · 307563

Also ListedNurse PractitionerTaxonomy 363L00000X · License SP009917 (PA)

701 SENECA ST STE 646C, Buffalo, NY 14210

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Secondary Practice Location 1

Location 11 Penn Plz, 8th FloorNew York, NY 10119-0002 · Phone (570) 452-2138

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mr. Tharon B. Holmberg Crnp 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 ID749357341

PECOS Enrollment IDI20110330000110, I20161010000866, I20240603004212, I20250416002768, I20250930000841

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 Tharon Holmberg reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile

21 mi

Internal Medicine

5320 MILITARY RD
Lewiston, NY 14092

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1609852714 (716) 297-7542

Delphi Healthcare PLLC

63 mi

Emergency Medicine

1160 CHILI AVE
Rochester, NY 14624

Reassigned Medicare billing, New York enrollment
203 clinicians in this Medicare group

NPI 1003075029 (585) 330-3374

Delphi Hospitalist Services LLC

63 mi

Hospitalist

1160 CHILI AVE STE 200
Rochester, NY 14624

Reassigned Medicare billing, New York enrollment
185 clinicians in this Medicare group

NPI 1922270420 (585) 500-4814

Carthage Area Hospital Inc.

179 mi

Urology

3 BRIDGE ST
Carthage, NY 13619

Reassigned Medicare billing, New York enrollment
199 clinicians in this Medicare group

NPI 1720269863 (315) 493-4874

Park Avenue Pediatrics, P.C.

273 mi

Pediatrics

12 DEERWOOD RD
Spring Valley, NY 10977

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Park Avenue Pediatrics PC
87 clinicians in this Medicare group

NPI 1699969543 (845) 671-4000

Daniel Funsch Jr, M.D., P.C.

291 mi

Emergency Medicine

885 3RD AVE FL 28
New York, NY 10022

Reassigned Medicare billing, Florida and Pennsylvania enrollments
Medicare enrollment name: Daniel Funsch Jr MD PC
124 clinicians in this Medicare group

NPI 1316784580 (929) 650-3990

Dr Medical Services PC

291 mi

Multi-Specialty

885 3RD AVE FL 28
New York, NY 10022

Reassigned Medicare billing, New York enrollment
31 clinicians in this Medicare group

NPI 1053012401 (214) 851-3344

Dr Rebman Bh LLC

291 mi

Behavioral Neurology & Neuropsychiatry

885 3RD AVE FL 28
New York, NY 10022

Reassigned Medicare billing, Florida, New Jersey and Pennsylvania enrollments
89 clinicians in this Medicare group

NPI 1114894540 (929) 650-3990

Ivy Medical Group PLLC

291 mi

Emergency Medicine

885 3RD AVE FL 28
New York, NY 10022

Reassigned Medicare billing, Florida, New York and Pennsylvania enrollments
92 clinicians in this Medicare group

NPI 1700558798 (929) 650-3990

Lumina Care Medical Nj LLC

291 mi

Emergency Medicine

885 3RD AVE FL 28
New York, NY 10022

Reassigned Medicare billing, New Jersey enrollment
79 clinicians in this Medicare group

NPI 1851118319 (929) 650-3990

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 16

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

805 services69 patients

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

708 services562 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

444 services318 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

198 services89 patients

Telehealth originating site facility fee Q3014

The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.

173 services161 patients

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

123 services51 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

104 services58 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

104 services43 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.

102 services92 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

99 services89 patients

Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484

Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.

91 services81 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

85 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.

64 services64 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

62 services62 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

57 services55 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tracheostomy, inner cannula A4623

DME-Orthotic Devices · category DF000N

1 supplier17 claims510 services$6.31 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier17 claims360 services$3.26 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier64 claims1,247 services$4.24 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier35 claims13,194 services$0.32 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier16 claims4,705 services$0.27 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

1 supplier13 claims3,507 services$0.56 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.

BETH LYN VACCARELLI ANP

Nurse Practitioner (Adult Health)