BENJAMIN HOLLER
NPI 1902335698
Family Medicine in Glenpool, OK

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
56.89/100
CMS Quality Rating
12142 S YUKON AVENUE, GLENPOOL, OK 74033(918) 935-3636(918) 777-9019 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2024, Jul 21, 2022, Mar 18, 2021 and 4 more (7 updates tracked since 2017).

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

NPI1902335698
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBENJAMIN HOLLER
Location Address12142 S YUKON AVENUEGlenpool, OK 74033-6621
Mailing Address12142 S Yukon AvenueGlenpool, OK 74033-6621 · (918) 935-3636 · Fax (918) 777-9019
Fax(918) 777-9019
Sole ProprietorNo
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2016
Enumeration DateJune 7, 2017
Last NPPES UpdateApril 15, 20247 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
NPI 1902335698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 38874
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 52911 (KY), R4433 (KY)
12142 S YUKON AVENUE, Glenpool, OK 74033

Accepted Insurance

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

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.

PECOS PAC ID1658621529
PECOS Enrollment IDI20240401000349, I20240422002778
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 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.

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
289 services70 patients
Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487
Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.
281 services77 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
281 services77 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
277 services265 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
203 services70 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.
121 services117 patients

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, IA
OwnershipGovernment - Local
CMS Certification Number161329
Location700 W Grove StMaquoketa, IA 52060 · Jackson County
Emergency services

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190013
Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County
Emergency services Birthing friendly

Opelousas General Health System

Acute Care Hospitals · Opelousas, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number190017
Location539 East Prudhomme StreetOpelousas, LA 70570 · St. Landry County
Emergency services Birthing friendly

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Byrd Regional Hospital

Acute Care Hospitals · Leesville, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190164
Location1020 Fertitta BlvdLeesville, LA 71446 · Vernon County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

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.

56.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality41.2
Improvement Activities40
Cost35.09

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.

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, Medica 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.