SAUNDRA HOLSETH DO
NPI 1043601842
Family Medicine - Sports Medicine in Lakeland, FL

Q: What is Saundra Holseth's NPI number?

The NPI number for Saundra Holseth is 1043601842. It was assigned to this individual provider in the NPPES registry on February 15, 2015.

Q: What is Saundra Holseth's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Saundra Holseth was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 15, 2015PECOS EnrolledAccepts Medicare Assignment

5421 S FLORIDA AVE, LAKELAND, FL 33813(863) 401-4401(866) 824-2717 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2026, Apr 11, 2025, May 17, 2024 and 1 more (4 updates tracked since 2023).

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About Saundra Holseth Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAUNDRA HOLSETH DO (NPI 1043601842) is an individual sports medicine provider in Lakeland, Florida, licensed in Florida (OS14412) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Lake Wales, and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1043601842

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameSAUNDRA HOLSETHCredential: DO

Location Address5421 S FLORIDA AVELakeland, FL 33813-2523

Mailing Address475 E Central AveWinter Haven, FL 33880-3051 · (863) 401-4401 · Fax (866) 824-2717

Phone(863) 401-4401

Fax(866) 824-2717

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateFebruary 15, 2015

Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1043601842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in FL · OS14412✔ Licensed in GA · 85870

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OS14412 (FL)

5421 S FLORIDA AVE, Lakeland, FL 33813

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Secondary Practice Location 1

Location 13240 S Florida AveLakeland, FL 33803-4574 · Phone (863) 646-4000 · Fax (863) 646-5189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Saundra Holseth Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587949656

PECOS Enrollment IDI20170403000835

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Saundra Holseth reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Michelle Henne, M.D., P.A.

Same address

Sports Medicine

5421 S FLORIDA AVE
Lakeland, FL 33813

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Michelle Henne MD PA
2 clinicians in this Medicare group

NPI 1225564073 (863) 401-4401

Trinity Medical Physicians, LLC

2.7 mi

Family Medicine

3240 S FLORIDA AVE STE 100
Lakeland, FL 33803

Reassigned Medicare billing, Florida enrollment
63 clinicians in this Medicare group

NPI 1225652878 (863) 646-4000

MD Now Medical Centers Inc

144 mi

Urgent Care

2007 PALM BEACH LAKES BLVD
West Palm Beach, FL 33409

Reassigned Medicare billing, Florida enrollment
373 clinicians in this Medicare group

NPI 1033195474 (561) 420-8555

St Francis Affiliated Services LLC

358 mi

Urgent Care

3465 MACON RD, STE. D
Columbus, GA 31907

Reassigned Medicare billing, Georgia enrollment
47 clinicians in this Medicare group

NPI 1821462136 (706) 243-3051

Img Medical Group De PA

Sports Medicine

244 N CONGRESS AVE # 2A
Boynton Beach, FL 33426

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1720708589 (888) 760-4266

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

47 services31 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

29 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services20 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100099

Location410 S 11th StLake Wales, FL 33853 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY C KARR DPM

Podiatrist