Todd Holmes, M.D.
NPI 1184693384 · Emergency Medicine Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Holmes, M.D. is a Emergency Medicine Physician provider in Wilkes Barre, PA (NPI 1184693384).
Provider details
- NPI number
- 1184693384
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD043652E (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
603 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 258 | $115 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 195 | $167 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 135 | $67 |
| Emergency Department Visit With Straightforward Medical Decision Making99282 | 15 | $40 |
Typical Medicare-allowed amounts for these services range $40–$167 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 23 | 23 |
| Prednisone | 22 | 19 |
| Ciprofloxacin Hcl | 19 | 19 |
| Ondansetron Hcl | 17 | 17 |
| Cefdinir | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-17
- Last updated
- 2020-08-21
- Certified
- 2020-08-21
Frequently asked questions
- What is Todd Holmes's NPI number?
- Todd Holmes's National Provider Identifier (NPI) is 1184693384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Holmes's specialty?
- Todd Holmes is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Holmes located?
- Todd Holmes's practice location on file with NPPES is 25 Church St, Wilkes Barre, PA 18765-0001.
- What is Todd Holmes's phone number?
- The practice phone number listed in the NPPES registry for Todd Holmes is (570) 808-3100.
- Does Todd Holmes accept Medicare?
- Todd Holmes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Holmes's NPI active?
- Yes — Todd Holmes's NPI (1184693384) is active in the NPPES registry as of the last update on 2020-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.