Marc Andrew Holbert
Physician Assistant โข Longmont, CO
1950 Mountain View Ave
Longmont, CO 805013129
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on May 10, 2006; this date does not establish years in practice.
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Published CMS data list 256 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99285 โ Emergency department visit with high level of medical decision making: 123 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 77 service units.
- 99283 โ Emergency department visit with low level of medical decision making: 25 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 46 Medicare Part D prescriptions, including refills, in 2022.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Published rows only; this is not a quality measure.
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Published Part D records, 2022:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) โ 30 prescription fills, including refills.
- Cephalexin โ 16 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 107 in 2018 to 256 in 2022.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2018โ2022.
Practice Location & Contact Primary Location
1950 Mountain View Ave
Longmont, CO 805013129
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 1 additional practice-address record in Boulder, CO. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $31,746 in 2022
The total amount Medicare approved for these services in 2022. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
Paid by Medicare
About $25,385 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022.
30-day fills
46 standardized 30-day fills in 2022
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$297 in 2022
The total cost of these prescriptions in 2022, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2022.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Longmont and Colorado
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Marc Holbert are from 2022.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Marc Holbert are from 2022.
92 active clinicians are listed under Physician Assistant with a practice address in Longmont, CO (3,767 in Colorado).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Longmont
21.7% of these 92 clinicians have the CMS telehealth indicator.
69.6% of these 92 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 139% from 107 in 2018 to 256 in 2022.
- 2018: 107
- 2019: 16
- 2020: 117
- 2021: 327
- 2022: 256
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Medicare-allowed amount
Medicare-allowed amount increased 235% from $9,468 in 2018 to $31,746 in 2022.
- 2018: $9,468
- 2019: $86
- 2020: $16,104
- 2021: $40,211
- 2022: $31,746
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Paid by Medicare
Paid by Medicare increased 260% from $7,045 in 2018 to $25,385 in 2022.
- 2018: $7,045
- 2019: $68
- 2020: $13,060
- 2021: $31,040
- 2022: $25,385
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 19% from 57 in 2018 to 46 in 2022.
- 2018: 57
- 2019: 95
- 2020: 13
- 2021: 35
- 2022: 46
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30-day fills
30-day fills decreased 19% from 57 in 2018 to 46 in 2022.
- 2018: 57
- 2019: 95
- 2020: 13
- 2021: 35
- 2022: 46
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Part D drug cost
Part D drug cost went from $430 in 2018 to $297 in 2022.
- 2018: $430
- 2019: $689
- 2020: $52
- 2021: $201
- 2022: $297
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2022), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2021 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2022; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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123 | 122 | $714.00 | $151.11 |
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99284
Emergency department visit with moderate level of medical decision making
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77 | 74 | $483.00 | $103.89 |
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99283
Emergency department visit with low level of medical decision making
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25 | 24 | $258.00 | $61.52 |
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99291
Critical care, first 30-74 minutes
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19 | 19 | $904.00 | $186.14 |
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93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
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12 | 12 | $42.00 | $7.14 |
Source: CMS Part B by Provider and Service, 2022; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2022.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 30 | 94 | $124.37 | 28 |
| Cephalexin | Cephalexin | 16 | 97 | $172.99 | 16 |
Source: CMS Part D by Provider and Drug, 2022; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-06-26NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
4747 Arapahoe Ave
Boulder, CO 803031131
Phone: 3033067783
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Emergency Medicine
Emergency Medicine
Hospitalist
Emergency Medicine
Psychiatry & Neurology - Neurology
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: CO 1694)
NPI status registered as active in NPPES database
Registered at 1950 MOUNTAIN VIEW AVE, LONGMONT, CO 805013129 (Tel: 3036515000)
Registered at PO BOX 1175, ENGLEWOOD, CO 801501175 (Tel: 3033067783)
Recorded as MARC HOLBERT
Physician Assistant (license number reported to NPPES: CO PA.0001694)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Longmont
- Caillie Lawrie, PA-C
- An Tran, PA-C
- Christine Cork, PA-C CAQ PSYCH
- Vincenzo Piantanida, PA-C
- Joseph Lammers
- David Rothfuss, PA-C
Mailing Address
Po Box 1175
Englewood, CO 801501175
Phone: 3033067783