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: July 19, 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
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

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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
202 services94 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.
38 services28 patients
Follow-up hospital inpatient care per day, typically 35 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.
28 services23 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.

Hospitalist
6327 N. FRESNO STREET, SUITE 104
FRESNO, CA 93710
Hospitalist
6327 N. FRESNO STREET, SUITE 104
FRESNO, CA 93710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952309437, enumerated as an "individual" on July 08, 2005.

The provider is located at 6327 N. FRESNO STREET SUITE 104 FRESNO, CA 93710 and the phone number is (559) 431-4020.

Internal Medicine with taxonomy code 207RC0200X and a focus in Critical Care Medicine.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.