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SVEIN M HOLSAETER MD
NPI 1114992054
Surgery in Oklahoma City, OK

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
85.7/100
CMS Quality Rating
608 NW 9TH ST STE 6200, OKLAHOMA CITY, OK 73102(405) 232-4211(405) 232-3767 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2022, May 17, 2022 (2 updates tracked since 2022).

About Svein M Holsaeter Md NPPES

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

SVEIN M HOLSAETER MD (NPI 1114992054) is an individual surgery provider in Oklahoma City, Oklahoma, licensed in Oklahoma (18625) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Anthony Hospital - Oklahoma City, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1114992054
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameSVEIN M HOLSAETERCredential: MD
Location Address608 NW 9TH ST STE 6200Oklahoma City, OK 73102-1017
Mailing Address401 Sw 80th St Ste 101Oklahoma City, OK 73139-8123 · (405) 286-9465 · Fax (405) 286-9462
Phone(405) 232-4211
Fax(405) 232-3767
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 22, 2006
Last NPPES UpdateJuly 25, 20222 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
✔ NPI 1114992054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OK · 18625
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
608 NW 9TH ST STE 6200, Oklahoma City, OK 73102
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Other Identifiers 1

Medicaid100156730BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Svein M Holsaeter Md 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 ID9931147311
PECOS Enrollment IDI20050421001606
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.

Areas of Expertise CMS Part B claims 10

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
70 services68 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
52 services52 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.
33 services30 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services24 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Shawnee

Acute Care Hospitals · Shawnee, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370149
Location1102 W MacarthurShawnee, OK 74804 · Pottawatomie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73102 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.33
Promoting Interoperability100
Improvement Activities40
Cost62.01

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier14 claims560 services$2.65 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
2 suppliers18 claims38 services$3.53 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
1 supplier14 claims280 services$5.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

TIMOTHY J ELDRIDGE MD
Surgery
608 NW 9TH ST STE 6200
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 232-4211
KIMBERLY A ALLEN ARNP
Nurse Practitioner (Primary Care)
608 NW 9TH ST STE 6200
OKLAHOMA CITY, OK 73102
Oklahoma County (405) 272-7677

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Svein Holsaeter's NPI number?

The NPI number for Svein Holsaeter is 1114992054. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Svein Holsaeter located?

Svein Holsaeter practices at 608 NW 9th St Ste 6200, Oklahoma City, OK 73102. The listed phone number is (405) 232-4211.

What is Svein Holsaeter's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Svein Holsaeter enrolled in Medicare?

Yes. Svein Holsaeter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Svein Holsaeter accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Svein Holsaeter as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Svein Holsaeter affiliated with any hospitals?

According to CMS data, Svein Holsaeter is affiliated with Ssm Health St Anthony Hospital - Oklahoma City and Ssm Health St Anthony Hospital - Shawnee.

When was this NPI record last updated?

The NPPES record for Svein Holsaeter was last updated on July 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.