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SUSAN E HOLIBAUGH DPM
NPI 1235107632
Podiatrist - Foot Surgery in Muskegon, MI

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1281 E SHERMAN BLVD, 1281 E SHERMAN, MUSKEGON, MI 49444(231) 733-1511(231) 733-7980 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2018, Jul 16, 2018 (2 updates tracked since 2018).

About Susan E Holibaugh Dpm NPPES

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

SUSAN E HOLIBAUGH DPM (NPI 1235107632) is an individual foot surgery provider in Muskegon, Michigan, licensed in Michigan (5901001528) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of College Of Podiatric Med And Surgery, Des Moines University (1989).

NPPES Registry Identity

NPI1235107632
Entity TypeIndividualFemale
Primary Taxonomy213ES0131X
Provider Legal NameSUSAN E HOLIBAUGHCredential: DPM
Location Address1281 E SHERMAN BLVD, 1281 E SHERMANMuskegon, MI 49444
Mailing Address1281 E Sherman BlvdNorton Shores, MI 49444-1846 · (231) 733-1511 · Fax (231) 489-7500
Phone(231) 733-1511
Fax(231) 733-7980
Sole ProprietorNo
Medical School CMSCollege Of Podiatric Med And Surgery, Des Moines UniversityGraduated 1989
Enumeration DateMarch 10, 2006
Last NPPES UpdateAugust 16, 20182 updates tracked since enumeration
✔ NPI 1235107632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0131X
License✔ Licensed in MI · 5901001528
1281 E SHERMAN BLVD, Muskegon, MI 49444
Open in Google Maps ↗

Other Identifiers 3

Medicaid2693057MI
Other4856110470MI · Bcbsm
Other4609590001MI · Adminastar Dmerc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Susan E Holibaugh Dpm 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 ID4385768084
PECOS Enrollment IDI20100902000112
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.

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.
218 services207 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 3

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

DIABETIC FOOT AND WOUND CARE CENTER PLLC
Podiatrist
1281 E SHERMAN BLVD
MUSKEGON, MI 49444
Muskegon County (231) 733-1511
DIABETIC FOOT PLLC
Podiatrist
1281 E SHERMAN BLVD
MUSKEGON, MI 49444
Muskegon County (231) 733-1511
DR. MEGAN MELISSA DEMARA D.P.M.
Podiatrist (Foot & Ankle Surgery)
1281 E SHERMAN BLVD
NORTON SHORES, MI 49444
Muskegon County (231) 733-1511

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 Susan Holibaugh's NPI number?

The NPI number for Susan Holibaugh is 1235107632. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Susan Holibaugh located?

Susan Holibaugh practices at 1281 E Sherman Blvd 1281 E Sherman, Muskegon, MI 49444. The listed phone number is (231) 733-1511.

What is Susan Holibaugh's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot Surgery, with taxonomy code 213ES0131X.

Is Susan Holibaugh enrolled in Medicare?

Yes. Susan Holibaugh 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 Susan Holibaugh accept?

Health plans from Oscar Insurance Company list Susan Holibaugh 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.

When was this NPI record last updated?

The NPPES record for Susan Holibaugh was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.