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DR. PHILLIP WALTER HOLMES M.D.
NPI 1275590333
Family Medicine in Elbow Lake, MN

Active since May 01, 2006PECOS Enrolled
77.26/100
CMS Quality Rating
1411 STATE HWY 79 EAST, ELBOW LAKE, MN 56531(218) 685-7300(218) 685-7292 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Phillip Walter Holmes M.d. NPPES

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

DR. PHILLIP WALTER HOLMES M.D. (NPI 1275590333) is an individual family medicine provider in Elbow Lake, Minnesota, licensed in Minnesota (37994) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275590333
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PHILLIP WALTER HOLMESCredential: M.D.
Location Address1411 STATE HWY 79 EASTElbow Lake, MN 56531
Mailing Address712 S Cascade StFergus Falls, MN 56537-2913 · (218) 736-8000 · Fax (218) 685-7292
Phone(218) 685-7300
Fax(218) 685-7292
Sole ProprietorNo
Enumeration DateMay 1, 2006
Last NPPES UpdateFebruary 20, 2017
✔ NPI 1275590333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 37994
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1411 STATE HWY 79 EAST, Elbow Lake, MN 56531
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Other Identifiers 1

Medicare UPING13602MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, 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 (PECOS)

Dr. Phillip Walter Holmes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56531 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

77.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.8
Promoting Interoperability97
Improvement Activities40
Cost38.9

Referred Medical Equipment & Supplies CMS DME claims

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$43.00 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 3

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

DR. LARRY LLOYD RAPP D.O.
Family Medicine
1411 STATE HWY 79 EAST
ELBOW LAKE, MN 56531
Grant County (218) 685-7300
MRS. HEATHER JANE REEVE PA-C
Physician Assistant (Medical)
1411 STATE HWY 79 EAST
ELBOW LAKE, MN 56531
Grant County (218) 685-7300
MS. MARLENE ANN WOOD NP
Nurse Practitioner
1411 STATE HWY 79 EAST
ELBOW LAKE, MN 56531
Grant County (218) 685-4461

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 Phillip Holmes's NPI number?

The NPI number for Phillip Holmes is 1275590333. It was assigned to this individual provider in the NPPES registry on May 1, 2006.

Where is Phillip Holmes located?

Phillip Holmes practices at 1411 State Hwy 79 East, Elbow Lake, MN 56531. The listed phone number is (218) 685-7300.

What is Phillip Holmes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Phillip Holmes enrolled in Medicare?

Yes. Phillip Holmes is registered in the Medicare PECOS enrollment system.

What insurance does Phillip Holmes accept?

Health plans from Medica and Sanford Health Plan list Phillip Holmes 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 Phillip Holmes was last updated on February 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.