Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mark Stephen Holder , PA-C

Physician Assistant • Manchester, MO

Active NPI 1659988533 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

13861 Manchester Rd
Manchester, MO 630114503

Call 6362209333 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

13861 Manchester Rd

Manchester, MO 630114503

Telephone 6362209333
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: St Louis Pain Consultants Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2020

Medicare patients

130 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $18,449 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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 – by Provider and Service, 2024.

Paid by Medicare

About $14,606 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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 – by Provider and Service, 2024.

30-day fills

247 standardized 30-day fills in 2024

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

$1,765 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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 – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $804.47 across 23 records.

By nature of payment

  • Food and Beverage: $804.47 across 23 records.

Reporting-company totals (3 largest of 6)

  • Boston Scientific Corporation: $494.00 across 10 records.
  • BIOTRONIK NRO, Inc.: $118.07 across 4 records.
  • Saluda Medical Americas, Inc.: $89.62 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

6 years (graduated 2020)

CMS Doctors and Clinicians data list 2020 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2020

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mark Holder has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mark Holder as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Manchester and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.

Too few clinicians listed under Physician Assistant in Manchester have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $16,486. Middle half: $7,632 to $33,529.

Too few clinicians listed under Physician Assistant in Manchester have Medicare Part B data for 2024 to compare.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $12,171. Middle half: $5,565 to $25,556.

Too few clinicians listed under Physician Assistant in Manchester have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: 219. Middle half: 73 to 682.

Too few clinicians listed under Physician Assistant in Manchester have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: $2,647. Middle half: $562 to $57,833.

Too few clinicians listed under Physician Assistant in Manchester have Medicare Part D data for 2024 to compare.

4 active clinicians are listed under Physician Assistant with a practice address in Manchester, MO (1,791 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 23 records totaling $804.47.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $144.00
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $106.51
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $57.81
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $43.82
Boston Scientific Corporation
Food and Beverage
In-kind items and services
General - Pain Management General $43.38
Spinal Simplicity, LLC
Food and Beverage
In-kind items and services
HA MINUTEMAN G3-R General $33.20
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $31.19
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $30.73
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $28.74
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $27.37
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $27.37
MML US, Inc.
Food and Beverage
Cash or cash equivalent
ReActiv8 General $26.75
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $23.51
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $23.32
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $23.14
Averitas Pharma Inc.
Food and Beverage
In-kind items and services
QUTENZA General $22.94
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $21.67
BIOTRONIK NRO, Inc.
Food and Beverage
In-kind items and services
Prospera General $19.92
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $18.55
MML US, Inc.
Food and Beverage
Cash or cash equivalent
ReActiv8 General $16.80
Saluda Medical Americas, Inc.
Food and Beverage
In-kind items and services
Evoke General $16.33
Boston Scientific Corporation
Food and Beverage
In-kind items and services
Intracept General $14.33
MML US, Inc.
Food and Beverage
Cash or cash equivalent
ReActiv8 General $3.09

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020–2023 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 – by Provider and Service data, 2021–2024; 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
J1010 Injection, methylprednisolone acetate, 1 mg
1,642 19 $1.05 $0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
141 90 $379.00 $102.07
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
21 20 $268.00 $72.56
20553 Injection of trigger points, 3 or more muscles
14 12 $182.00 $48.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $494.00 $126.74

Source: CMS Part B by Provider and Service, 2024; 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 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Tizanidine Hcl Tizanidine Hcl 89 3,025 $616.16 44
Gabapentin Gabapentin 39 1,410 $526.34 13
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 29 854 $275.41 —
Methylprednisolone Methylprednisolone 23 138 $154.29 22
Meloxicam Meloxicam 16 540 $51.63 —
Celecoxib Celecoxib 16 480 $119.97 —
Prednisone Prednisone 12 136 $21.53 12

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-09-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MO 2020032233

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240430003363

Enrollment State Jurisdiction

IL

PECOS Control ID

1456762889

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

St Louis Pain Consultants Llc

211 N Lindbergh Blvd, Saint Louis, MO 631417838

Phone: 3142053146

St Louis Pain Consultants Llc

17 Ginger Creek Mdws, Glen Carbon, IL 620343508

Phone: 3142053146

St Louis Pain Consultants Llc

2928 N Central St, Maryville, IL 62062

Phone: 6155054107

St Louis Pain Consultants Llc

5139 Mattis Rd, Saint Louis, MO 631282250

Phone: 3142056149

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Natalie Hanalei , FNP-C

Nurse Practitioner - Family

NPI 1760215214

Family Nurse Practitioner (Certified)

Jevon Huang , PA-C

Physician Assistant

NPI 1619441920

Physician Assistant (Certified)

Sarah Lewis

Nurse Practitioner - Family

NPI 1669938106
Whitney Shafer

Physician Assistant

NPI 1811695224
Dr. Ryan Theen , DC, MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1639424716

Doctor of Chiropractic, Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History

NPI enumerated September 25, 2020.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from October 2020 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1659988533
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2020
Last Update: September 25, 2020
Sole Proprietor: No

Other Physician Assistants in Manchester

Mailing Address

13861 Manchester Rd

Manchester, MO 630114503

Phone: 6362209333

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.