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TARA LEE HOLM M.D.
NPI 1164567764
Radiology - Diagnostic Radiology in Minneapolis, MN

Active since February 21, 2007PECOS EnrolledAccepts Medicare Assignment
86.51/100
CMS Quality Rating
420 DELAWARE ST SE, MMC 292, MINNEAPOLIS, MN 55455(612) 626-5589 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara Lee Holm M.d. NPPES

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

TARA LEE HOLM M.D. (NPI 1164567764) is an individual diagnostic radiology provider in Minneapolis, Minnesota, licensed in Minnesota (47674) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of University Of Minnesota Medical School (2001).

NPPES Registry Identity

NPI1164567764
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameTARA LEE HOLMCredential: M.D.
Location Address420 DELAWARE ST SE, MMC 292Minneapolis, MN 55455-0341
Mailing Address420 Delaware St Se, Mmc 292Minneapolis, MN 55455-0341
Phone(612) 626-5589
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2001
Enumeration DateFebruary 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1164567764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in MN · 47674
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
420 DELAWARE ST SE, Minneapolis, MN 55455
Open in Google Maps ↗

Other Names 1

Former Name (1)Tara Lee Gengenbach

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.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

Tara Lee Holm M.d. 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 ID8820021801
PECOS Enrollment IDI20050912000822
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

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.

Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55455 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

86.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.59
Promoting Interoperability100
Improvement Activities40
Cost67.96

Other Providers at the Same Location NPPES 20

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

KHALID AMIN MD
Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Hennepin County (913) 827-3505
MELISSA RICHARDSON PA-C
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 273-3000
DR. RAID SAID MOUSA YOUSEF M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7911
DR. DAVID YOUNG BALSER MD
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-2661
ALEXANDER TROESTER
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-6483
NIKITHA VOBUGARI MD
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0400
THOMAS HOUGHLAND MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-5589
DR. ANUSHA L GOPALAM MD
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5454

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 Tara Holm's NPI number?

The NPI number for Tara Holm is 1164567764. It was assigned to this individual provider in the NPPES registry on February 21, 2007. The provider is also known as Tara Lee Gengenbach.

Where is Tara Holm located?

Tara Holm practices at 420 Delaware St SE Mmc 292, Minneapolis, MN 55455. The listed phone number is (612) 626-5589.

What is Tara Holm's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Tara Holm enrolled in Medicare?

Yes. Tara Holm 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 Tara Holm accept?

Health plans from Sanford Health Plan list Tara Holm 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 Tara Holm affiliated with any hospitals?

According to CMS data, Tara Holm is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Tara Holm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.