JEFFREY RANDALL HOLT (MD) – Family Medicine Physician, NPI 1700090826

JEFFREY RANDALL HOLT (MD) is a healthcare provider. based in Fredericksburg, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. M6197 (TX). The NPI Number for JEFFREY RANDALL HOLT (MD) is 1700090826

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JEFFREY RANDALL HOLT (MD)
NPI
1700090826
Phone
(830) 997-2181
Address
1308 SOUTH HIGHWAY 16
Enumeration Date
9 May 2007
Last Update Date
4 April 2011

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8309972181290
Graduation Year
2005 (21 years ago)
PAC ID
7911091160
Group Practice PAC ID
3375515992
Professional Enrollment ID
I20070918000701
Address ID
TX786245058FR1308X16XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

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Provider Addresses for JEFFREY RANDALL HOLT (MD)

  • Fredericksburg, Fredericksburg City, Virginia, United States

    FREDERICKSBURG, TX 786245058

    Phone: (830) 997-2181

    Fax: (830) 997-9598

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2007-09-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070918000701IFamily PracticeTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes640251$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month53567$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count489229$0
80053Blood test, comprehensive group of blood chemicals447220$0
36415Insertion of needle into vein for collection of blood sample442215$0
View full utilization report →

Insurance plans in this area (ZIP 78624)

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Provider's Procedures

JEFFREY RANDALL HOLT (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX45378Diagnostic examination of large bowel using an endoscope2222
FAMILY MEDICINETX83036Hemoglobin A1C level344154
FAMILY MEDICINETX85610Blood test, clotting time9218
FAMILY MEDICINETX90670Pneumococcal vaccine for injection into muscle6363

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375515992View full group profile
NameSpecialtyState
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Internal MedicineTX
-TX
Family PracticeTX
Nurse PractitionerTX
Internal MedicineTX
Family PracticeTX
Family PracticeTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for JEFFREY RANDALL HOLT (MD)?
JEFFREY RANDALL HOLT (MD) — NPI 1700090826 — is the standard way to identify this listing.
Does the file indicate JEFFREY RANDALL HOLT (MD) is practicing under active NPI?
Directory data currently reports JEFFREY RANDALL HOLT (MD) as active.
What is JEFFREY RANDALL HOLT (MD) best known for clinically?
Directory data describes JEFFREY RANDALL HOLT (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JEFFREY RANDALL HOLT (MD) on a map?
Expect Fredericksburg, Texas as a primary anchor for JEFFREY RANDALL HOLT (MD) unless the record lists multiple sites.
Is the information about JEFFREY RANDALL HOLT (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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