STACEY HOLDER MD
NPI 1891820353
Internal Medicine in Longview, TX

Active since February 23, 2007PECOS Enrolled
5016 GILMER RD, LONGVIEW, TX 75604(903) 553-0035(903) 553-0065 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stacey Holder Md NPPES

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

STACEY HOLDER MD (NPI 1891820353) is an individual internal medicine provider in Longview, Texas, licensed in Texas (K6764) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891820353
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSTACEY HOLDERCredential: MD
Location Address5016 GILMER RDLongview, TX 75604-9666
Mailing Address5016 Gilmer RdLongview, TX 75604-9666 · (903) 553-0035 · Fax (903) 553-0065
Fax(903) 553-0065
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJanuary 23, 2012
NPI 1891820353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · K6764
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5016 GILMER RD, Longview, TX 75604

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacey Holder Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75604 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Other Providers at the Same Location NPPES 6

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

Hospice Care, Community Based
5016 GILMER RD
LONGVIEW, TX 75604
Anesthesiology (Pain Medicine)
5016 GILMER RD
LONGVIEW, TX 75604
Internal Medicine (Hematology & Oncology)
5016 GILMER RD, SUITE 101
LONGVIEW, TX 75604
Anesthesiology (Pain Medicine)
5016 GILMER RD
LONGVIEW, TX 75604
Nurse Practitioner (Primary Care)
5016 GILMER RD
LONGVIEW, TX 75604
Physical Medicine & Rehabilitation (Pain Medicine)
5016 GILMER RD
LONGVIEW, TX 75604

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 Stacey Holder's NPI number?

The NPI number for Stacey Holder is 1891820353. It was assigned to this individual provider in the NPPES registry on February 23, 2007.

Where is Stacey Holder located?

Stacey Holder practices at 5016 Gilmer Rd, Longview, TX 75604. The listed phone number is (903) 553-0035.

What is Stacey Holder's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Stacey Holder enrolled in Medicare?

Yes. Stacey Holder is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacey Holder was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.