BENJAMIN HOLLER
NPI 1902335698
Family Medicine in Glenpool, OK
About Benjamin Holler NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BENJAMIN HOLLER (NPI 1902335698) is an individual family medicine provider in Glenpool, Oklahoma, licensed in Oklahoma (38874) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Jackson County Regional Health Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Benjamin Holler 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.
Medicare Billing Reassignments
15Medicare enrollment records show Benjamin Holler reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glenpool, OK 74033
- Reassigned Medicare billing, Oklahoma enrollment
- 2 clinicians in this Medicare group
Ruston, LA 71270
- Reassigned Medicare billing, Louisiana enrollment
- 82 clinicians in this Medicare group
Leesville, LA 71446
- Reassigned Medicare billing, Louisiana enrollment
- 57 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Louisiana enrollment
- 214 clinicians in this Medicare group
Lubbock, TX 79401
- Reassigned Medicare billing, Texas enrollment
- 1,439 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Sulphur, LA 70663
- Reassigned Medicare billing, Louisiana enrollment
- 96 clinicians in this Medicare group
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 167 clinicians in this Medicare group
Opelousas, LA 70570
- Reassigned Medicare billing, Louisiana enrollment
- 40 clinicians in this Medicare group
Lafayette, LA 70508
- Reassigned Medicare billing, Louisiana enrollment
- 114 clinicians in this Medicare group
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 13
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jackson County Regional Health Center
Critical Access Hospitals · Maquoketa, IAWest Calcasieu Cameron Hospital
Acute Care Hospitals · Sulphur, LAOpelousas General Health System
Acute Care Hospitals · Opelousas, LALake Charles Memorial Hospital
Acute Care Hospitals · Lake Charles, LAByrd Regional Hospital
Acute Care Hospitals · Leesville, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Benjamin Holler's NPI number?
The NPI number for Benjamin Holler is 1902335698. It was assigned to this individual provider in the NPPES registry on June 7, 2017.
Where is Benjamin Holler located?
Benjamin Holler practices at 12142 S Yukon Avenue, Glenpool, OK 74033. The listed phone number is (918) 935-3636.
What is Benjamin Holler's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Benjamin Holler enrolled in Medicare?
Yes. Benjamin Holler 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.
Which organizations bill Medicare for Benjamin Holler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Holler reassigns Medicare benefits to 15 organizations: Transformation Health PLLC (Glenpool, OK), Northern Louisiana Emergency Physicians, LLP (Ruston, LA), Kisatchie Emergency Group, LLC (Leesville, LA), Concord Medical Group PLLC (Lubbock, TX), Concord Medical Group Of Texas PLLC (Lubbock, TX) and 10 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Holler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Holler accept?
Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, HMO Louisiana and Molina Healthcare and 2 other insurers list Benjamin Holler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Benjamin Holler affiliated with any hospitals?
According to CMS data, Benjamin Holler is affiliated with Jackson County Regional Health Center, West Calcasieu Cameron Hospital, Opelousas General Health System, Lake Charles Memorial Hospital and Byrd Regional Hospital.
When was this NPI record last updated?
The NPPES record for Benjamin Holler was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Benjamin Holler · NPI 1902335698
Family Medicine physician in Glenpool, Oklahoma. Individual provider, active in the CMS NPPES registry since June 7, 2017.
## Identity
- **NPI:** 1902335698 (Entity type: Individual)
- **Enumerated:** June 7, 2017
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 38874 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 12142 S YUKON AVENUE, Glenpool, OK 74033-6621
- **Phone:** (918) 935-3636 · **Fax:** (918) 777-9019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 15 organizations under Medicare reassignment (form CMS-855R): Transformation Health PLLC (NPI 1497263818, Glenpool, OK); Northern Louisiana Emergency Physicians, LLP (NPI 1588828172, Ruston, LA); Kisatchie Emergency Group, LLC (NPI 1235693847, Leesville, LA); Concord Medical Group PLLC (NPI 1083630610, Lubbock, TX); Concord Medical Group Of Texas PLLC (NPI 1750790762, Lubbock, TX); and 10 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Texas A & M University System, Hsc, College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** April 15, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1902335698) · Data from the CMS NPPES public registry.