COTY JOHN HOLM
NPI 1902453855
Physician Assistant - Surgical in Missoula, MT

Active since August 23, 2019PECOS EnrolledAccepts Medicare Assignment
85.43/100
CMS Quality Rating
500 W BROADWAY ST, MISSOULA, MT 59802(406) 329-5615 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Nov 23, 2020, Nov 10, 2020 and 1 more (4 updates tracked since 2019).

About Coty John Holm NPPES

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

COTY JOHN HOLM (NPI 1902453855) is an individual surgical provider in Missoula, Montana, licensed in Montana (MED-PAC-LIC-91036) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with St. Patrick Hospital, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1902453855
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameCOTY JOHN HOLM
Location Address500 W BROADWAY STMissoula, MT 59802-4008
Mailing AddressPo Box 12Liberty Lake, WA 99019-0012 · (406) 329-5615
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 23, 2019
Last NPPES UpdateMay 21, 20214 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1902453855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MT · MED-PAC-LIC-91036
500 W BROADWAY ST, Missoula, MT 59802

Secondary Practice Location 1

Location 14311 11th Avenue NE, Suite 200Seattle, WA 98105-6367 · Phone (206) 616-4001

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

Coty John Holm 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 ID3870904766
PECOS Enrollment IDI20201125001208
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
185 services162 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
33 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St. Patrick Hospital

Acute Care Hospitals · Missoula, MT
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number270014
Location500 W BroadwayMissoula, MT 59806 · Missoula County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Missoula, MT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number270023
Location2827 Fort Missoula RdMissoula, MT 59804 · Missoula County
Emergency services Birthing friendly

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.

85.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.98
Promoting Interoperability100
Improvement Activities40
Cost65.45

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
500 W BROADWAY ST, STE 320
MISSOULA, MT 59802
General Acute Care Hospital
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Pharmacist (Pharmacotherapy)
500 W BROADWAY ST
MISSOULA, MT 59802
Nurse Practitioner (Family)
500 W BROADWAY ST
MISSOULA, MT 59802
Internal Medicine (Nephrology)
500 W BROADWAY ST, 4TH FLOOR
MISSOULA, MT 59802
Thoracic Surgery (Cardiothoracic Vascular Surgery)
500 W BROADWAY ST
MISSOULA, MT 59802

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 Coty Holm's NPI number?

The NPI number for Coty Holm is 1902453855. It was assigned to this individual provider in the NPPES registry on August 23, 2019.

Where is Coty Holm located?

Coty Holm practices at 500 W Broadway St, Missoula, MT 59802. The listed phone number is (406) 329-5615.

What is Coty Holm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Coty Holm enrolled in Medicare?

Yes. Coty Holm 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 Coty Holm accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Coty Holm 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 Coty Holm affiliated with any hospitals?

According to CMS data, Coty Holm is affiliated with St. Patrick Hospital and Community Medical Center.

When was this NPI record last updated?

The NPPES record for Coty Holm was last updated on May 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.