Mark Stephen Holder, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2020032233 Issued in MO

Practice address

13861 Manchester Rd
Manchester, MO 63011-4503

Phone

(636) 220-9333

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Louis Pain Consultants LLCGroup PAC ID 2163674813, 6 clinicians

Mercy Clinic East CommunitiesGroup PAC ID 7214827922, shared by 6 NPIs, 573 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Merit-based Incentive Payment System (MIPS)

Final score

89.05 of 100Reported as group

Quality

100

Improvement activities

40

Cost

63.5

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Louis Pain Consultants LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Chesterfield, MO
  • NPI 1558611426

  IL

  Medicare reassignment Care Compare group
• Midamerica Spine Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Creve Coeur, MO
  • NPI 1114317757
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospitals East Communities

  dba Mercy Hospital St Louis

  • General Acute Care Hospital
  • Saint Louis, MO
  • NPI 1427098169
  Care Compare affiliation
• Mercy Hospitals East Communities

  dba Mercy St. Louis Transport Ambulance

  • Land Ambulance
  • Saint Louis, MO
  • NPI 1881329902

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1659988533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "636-220-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13861 MANCHESTER RD",
            "city": "MANCHESTER",
            "state": "MO",
            "postal_code": "630114503",
            "telephone_number": "636-220-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "MARK",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2020032233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Edward Haring, O.D.
• Fizza Hassan, PA
• Heart 2 Heart Home Care LLC
• Denise Ella Henry, LCSW
• Ashley A Hercules, RPH
• Robyn L Holmes, MS, BCBA
• Bianca Noelle Holstein
• Hough Orthodontics, Inc.
• Steven Wallace Hough, DDS
• Peggy Huff

• Physician Assistant in Manchester, MO
• Providers in Manchester, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.