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DR. RICHARD C HOLDEN DO
NPI 1952309437
Internal Medicine - Critical Care Medicine in Fresno, CA

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
6327 N. FRESNO STREET, SUITE 104, FRESNO, CA 93710(559) 431-4020(559) 431-4589 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Richard C Holden Do NPPES

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

DR. RICHARD C HOLDEN DO (NPI 1952309437) is an individual critical care medicine provider in Fresno, California, licensed in California (20A7641) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1999).

NPPES Registry Identity

NPI1952309437
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. RICHARD C HOLDENCredential: DO
Location Address6327 N. FRESNO STREET, SUITE 104Fresno, CA 93710-5236
Mailing Address6327 N. Fresno Street, Suite 104Fresno, CA 93710-5236 · (559) 431-4020 · Fax (559) 431-4589
Phone(559) 431-4020
Fax(559) 431-4589
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1999
Enumeration DateJuly 8, 2005
Last NPPES UpdateJuly 26, 2016
✔ NPI 1952309437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · 20A7641
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 20A7641 (CA)
6327 N. FRESNO STREET, Fresno, CA 93710
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Other Identifiers 3

Medicaid00AX76410CA
Medicare PIN020A76411CA
Medicare UPINH98861CA

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

Dr. Richard C Holden Do 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 ID648166504
PECOS Enrollment IDI20040226000516
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
218 services83 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services23 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
26 services14 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93710 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.3
Promoting Interoperability100
Improvement Activities40
Cost61.3

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
59%241 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

DR. DANIEL V CORDOBA MD
Hospitalist
6327 N. FRESNO STREET, SUITE 104
FRESNO, CA 93710
Fresno County (559) 431-4020
DR. ALAN B REYES MD
Hospitalist
6327 N. FRESNO STREET, SUITE 104
FRESNO, CA 93710
Fresno County (559) 431-4020

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 Richard Holden's NPI number?

The NPI number for Richard Holden is 1952309437. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Richard Holden located?

Richard Holden practices at 6327 N. Fresno Street Suite 104, Fresno, CA 93710. The listed phone number is (559) 431-4020.

What is Richard Holden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Richard Holden enrolled in Medicare?

Yes. Richard Holden 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.

When was this NPI record last updated?

The NPPES record for Richard Holden was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.