Dr. David Christian Holst , MD
Orthopaedic Surgery โข Midlothian, VA
13801 St. Francis Boulevard, Suite 200
Midlothian, VA 23114
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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Dr. David Holst is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on May 7, 2012; this date does not establish years in practice.
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Published CMS data list 3,624 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J3301 โ Injection, triamcinolone acetonide, not otherwise specified, 10 mg: 916 service units.
- 99214 โ Established patient outpatient office visit: 550 service units.
- 99213 โ Established patient outpatient office visit: 403 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 19 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,046 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Diclofenac Sodium โ 226 prescription fills, including refills.
- Meloxicam โ 194 prescription fills, including refills.
- Methylprednisolone โ 109 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 16 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Virginia (2024, 337 clinicians with data). Median for this group: 1,666. Middle half: 428 to 4,417.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 867 in 2020 to 3,624 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
13801 St. Francis Boulevard
Suite 200
Midlothian, VA 23114
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 Wake Forest, NC. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 3 distinct group names: Douglas Avery And Associates Ltd; Orthovirginia Inc; Professional Therapies Of Roanoke, Inc.. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Wake Forest University School Of Medicine
2012
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
746 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $364,818 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.
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, 2024.
Paid by Medicare
About $274,308 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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, 2024.
30-day fills
1,087 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
$8,362 in 2024
The total cost of these prescriptions in 2024, 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, 2024.
Open Payments general payments, program year 2024
All general payments: $4,189.57 across 4 records.
By nature of payment
- Consulting Fee: $4,050.00 across 3 records.
- Food and Beverage: $139.57 across 1 record.
Reporting-company totals
- Medical Device Business Services, Inc.: $2,925.00 across 2 records.
- DePuy Synthes Sales Inc.: $1,125.00 across 1 record.
- Ethicon Inc.: $139.57 across 1 record.
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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
14 years (graduated 2012)
CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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, CMS release of October 2, 2026.
NPI first issued
2012
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Holst 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.
Can order Medicare-covered services
CMS lists Dr. Holst 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Midlothian and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Orthopaedic Surgery in Virginia (2024, 337 clinicians with data). Median for this group: 1,666. Middle half: 428 to 4,417.
Too few clinicians listed under Orthopaedic Surgery in Midlothian have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A higher Medicare-allowed amount than 85% of clinicians listed under Orthopaedic Surgery in Virginia (2024, 337 clinicians with data). Median for this group: $131,079. Middle half: $43,391 to $241,385.
Too few clinicians listed under Orthopaedic Surgery in Midlothian have Medicare Part B data for 2024 to compare.
Paid by Medicare
A higher Medicare payment amount than 85% of clinicians listed under Orthopaedic Surgery in Virginia (2024, 337 clinicians with data). Median for this group: $98,948. Middle half: $32,163 to $184,768.
Too few clinicians listed under Orthopaedic Surgery in Midlothian have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 90% of clinicians listed under Orthopaedic Surgery in Virginia (2024, 336 clinicians with data). Median for this group: 209. Middle half: 71 to 414.
Too few clinicians listed under Orthopaedic Surgery in Midlothian have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Orthopaedic Surgery in Virginia (2024, 336 clinicians with data). Median for this group: $1,466. Middle half: $401 to $3,583.
Too few clinicians listed under Orthopaedic Surgery in Midlothian have Medicare Part D data for 2024 to compare.
7 active clinicians are listed under Orthopaedic Surgery with a practice address in Midlothian, VA (601 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
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 318% from 867 in 2020 to 3,624 in 2024.
- 2020: 867
- 2021: 691
- 2022: 2,014
- 2023: 3,524
- 2024: 3,624
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Medicare-allowed amount
Medicare-allowed amount increased 131% from $157,762 in 2020 to $364,818 in 2024.
- 2020: $157,762
- 2021: $144,033
- 2022: $224,315
- 2023: $377,155
- 2024: $364,818
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Paid by Medicare
Paid by Medicare increased 128% from $120,396 in 2020 to $274,308 in 2024.
- 2020: $120,396
- 2021: $109,390
- 2022: $175,014
- 2023: $284,730
- 2024: $274,308
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 76% from 593 in 2020 to 1,046 in 2024.
- 2020: 593
- 2021: 541
- 2022: 440
- 2023: 963
- 2024: 1,046
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30-day fills
30-day fills increased 69% from 643 in 2020 to 1,087 in 2024.
- 2020: 643
- 2021: 577
- 2022: 460
- 2023: 989
- 2024: 1,087
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Part D drug cost
Part D drug cost decreased 55% from $18,665 in 2020 to $8,362 in 2024.
- 2020: $18,665
- 2021: $5,460
- 2022: $4,744
- 2023: $8,885
- 2024: $8,362
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $419.33 in 2019 to $4,189.57 in 2024.
- 2019: $419.33
- 2021: $202.12
- 2022: $4,510.31
- 2023: $1,409.88
- 2024: $4,189.57
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $4,189.57.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Medical Device Business Services, Inc. |
Consulting Fee
Cash or cash equivalent
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โ | General | $2,025.00 |
| DePuy Synthes Sales Inc. |
Consulting Fee
Cash or cash equivalent
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โ | General | $1,125.00 |
| Medical Device Business Services, Inc. |
Consulting Fee
Cash or cash equivalent
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โ | General | $900.00 |
| Ethicon Inc. |
Food and Beverage
In-kind items and services
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VISTASEAL | General | $139.57 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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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J3301
Injection, triamcinolone acetonide, not otherwise specified, 10 mg
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916 | 171 | $2.61 | $1.00 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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550 | 421 | $240.23 | $123.26 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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403 | 305 | $169.23 | $87.74 |
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73564
X-ray of knee, 4 or more views
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377 | 280 | $166.00 | $45.37 |
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20610
Aspiration and/or injection of fluid from large joint
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286 | 227 | $242.47 | $66.78 |
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73502
X-ray of hip, 2-3 views
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258 | 219 | $144.63 | $44.38 |
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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220 | 45 | $12.00 | $7.28 |
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73562
X-ray of knee, 3 views
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136 | 118 | $125.00 | $39.17 |
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77073
X-ray for bone length assessment
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126 | 97 | $127.00 | $41.28 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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104 | 104 | $321.41 | $161.79 |
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27447
Replacement of knee joint, both sides of knee
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74 | 67 | $5949.00 | $1195.32 |
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27130
Replacement of thigh bone and hip joint with prosthesis
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40 | 39 | $5955.00 | $1223.68 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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31 | 31 | $221.45 | $108.01 |
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73522
X-ray of both hips, 3-4 views
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23 | 22 | $170.43 | $52.32 |
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73552
X-ray of thigh bone, minimum 2 views
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23 | 12 | $129.48 | $30.90 |
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99221
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
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16 | 16 | $198.00 | $79.09 |
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27236
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement
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14 | 13 | $5247.00 | $1116.85 |
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J7327
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
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14 | 13 | $1170.00 | $665.40 |
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27245
Treatment of broken neck of thigh bone with bone implant
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13 | 13 | $5402.00 | $1173.84 |
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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Diclofenac Sodium | Diclofenac Sodium | 226 | 7,120 | $2,374.67 | 100 |
| Meloxicam | Meloxicam | 194 | 6,116 | $452.39 | 130 |
| Methylprednisolone | Methylprednisolone | 109 | 654 | $683.72 | 102 |
| Amoxicillin | Amoxicillin | 90 | 96 | $80.93 | 72 |
| Celecoxib | Celecoxib | 72 | 2,320 | $2,673.27 | 31 |
| Tramadol Hcl | Tramadol Hcl | 71 | 515 | $163.35 | 46 |
| Oxycodone Hcl | Oxycodone Hcl | 64 | 387 | $337.01 | 46 |
| Prednisone | Prednisone | 41 | 289 | $72.13 | 35 |
| Methocarbamol | Methocarbamol | 39 | 440 | $290.82 | 31 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 35 | 247 | $222.68 | 17 |
| Pregabalin | Pregabalin | 26 | 831 | $355.93 | 22 |
| Gabapentin | Gabapentin | 23 | 990 | $304.29 | 13 |
| Clindamycin Hcl | Clindamycin Hcl | 17 | 20 | $35.61 | 11 |
| Cefadroxil | Cefadroxil | 15 | 103 | $91.18 | 15 |
| Naproxen | Naproxen | 13 | 390 | $168.42 | โ |
| Baclofen | Baclofen | 11 | 128 | $55.55 | โ |
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: 2021-12-22NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20220103000878
VA
0547574113
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, CMS release of October 2, 2026
Orthovirginia Inc
1115 Boulders Pkwy, North Chesterfield, VA 232254067
Orthovirginia Inc
7858 Shrader Rd, Richmond, VA 232944222
Phone: 8042701305
Professional Therapies Of Roanoke, Inc.
6800 Woodlake Commons Loop, Midlothian, VA 231122281
Phone: 8043024589
Douglas Avery And Associates Ltd
12725 Stone Village Way, Midlothian, VA 231132722
Phone: 8042458430
Secondary Practice Locations
3000 Rogers Rd
Wake Forest, NC 275875743
Phone: 9193851080
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery - Hand Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Physical Medicine & Rehabilitation
Physical Therapist
Doctor of Physical Therapy
Nurse Practitioner - Family
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 13801 ST. FRANCIS BOULEVARD, SUITE 200, MIDLOTHIAN, VA 23114 (Tel: 8043792414)
Registered at P. O. BOX 715868, PHILADELPHIA, PA 191715868 (Tel: 8042153063)
Additional practice office at 3000 Rogers Rd, Wake Forest, NC 275875743
Student in an Organized Health Care Education/Training Program
Registered at 3000 ROGERS RD, WAKE FOREST, NC 275875743 (Tel: 9193851080)
Registered at 3000 ROGERS RD, WAKE FOREST, NC 275875743 (Tel: 9193851080)
NPI status registered as active in NPPES database
Registered at 2535 S DOWNING ST STE 100, DENVER, CO 802105848 (Tel: (720) 524-1367)
Registered at 2535 S DOWNING ST STE 100, DENVER, CO 802105848 (Tel: (720) 524-1367)
Recorded as DAVID HOLST, MD
Orthopaedic Surgery (license number reported to NPPES: CO DR.0058514)
Registered at 2535 S DOWNING ST, STE 100, DENVER, CO 802105847 (Tel: 7205241367)
Orthopaedic Surgery (license number reported to NPPES: CO 0058514)
NPI status registered as active in NPPES database
Registered at MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001 (Tel: 3367162011)
Registered at MEDICAL CENTER BLVD, WINSTON SALEM, NC 271570001 (Tel: 3367162011)
Recorded as DAVID HOLST
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Midlothian
Healthcare providers in MidlothianMailing Address
P. O. Box 715868
Philadelphia, PA 191715868
Phone: 8042153063