DR. KEN V HOLT (D.O.) – Obstetrics & Gynecology Physician, NPI 1104894047
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
928 OBSTETRICS/GYNECOLOGY in MO
Provider Addresses for DR. KEN V HOLT (D.O.)
416 S MAPLE ST STE C
ELDON, MO 650261812
Phone: (573) 557-2553
Fax: (573) 392-5502
Type: Location
125 WYOMING ST
LANDER, WY 825203919
Phone: (307) 206-1330
Fax: (307) 206-1331
Type: Mailing
1602, North 2nd Street, Clinton, Clinton County, Iowa, 52732, United States
CLINTON, MO 647351192
Phone: (660) 885-8171
Fax: (660) 890-8496
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Astellas Pharma US Inc ($32).
Total Amount
$135
General + Research + Ownership
Payments
11
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $32 |
| Exeltis, USA Inc. | $31 |
| Organon LLC | $18 |
| ABBVIE INC. | $17 |
| Boston Scientific Corporation | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050810001135 | I | Obstetrics/Gynecology | MO | TBD |
| I20210506001563 | I | Obstetrics/Gynecology | WY | TBD |
| I20231005002407 | I | Obstetrics/Gynecology | AR | TBD |
| I20250909003516 | I | Obstetrics/Gynecology | AK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 65026)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | WY | |
| General Surgery | WY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WY | |
| Family Practice | WY | |
| Internal Medicine | WY | |
| Internal Medicine, Hospitalist | NY | |
| O T O L A R Y N G O L O G Y | WY | |
| Family Practice | WY | |
| Family Practice | WY | |
| Nurse Practitioner | WY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.