TORBJORG HOLTESTAUL MD
NPI 1295275428
Surgery in Fort Campbell, KY

Q: What is Torbjorg Holtestaul's NPI number?

The NPI number for Torbjorg Holtestaul is 1295275428. It was assigned to this individual provider in the NPPES registry on March 7, 2017.

Q: What is Torbjorg Holtestaul's specialty?

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

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 9, 2025, Aug 24, 2023, Sep 28, 2021 and 1 more (4 updates tracked since 2020).

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About Torbjorg Holtestaul Md NPPES

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

TORBJORG HOLTESTAUL MD (NPI 1295275428) is an individual surgery provider in Fort Campbell, Kentucky, licensed in Nebraska (31161) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and maintains a secondary practice location in Meridian.

NPPES Registry Identity

NPI1295275428

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameTORBJORG HOLTESTAULCredential: MD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 798-8400

Phone(270) 798-8400

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, AuroraGraduated 2017

Enumeration DateMarch 7, 2017

Last NPPES UpdateMay 9, 20254 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1295275428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in NE · 31161✔ Licensed in ID · 9471653

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.

650 JOEL DR, Fort Campbell, KY 42223

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Secondary Practice Location 1

Location 1520 S Eagle Rd Ste 1241Meridian, ID 83642-6355 · Phone (208) 381-6930 · Fax (208) 381-6931

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners 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

Torbjorg Holtestaul 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 ID3274059878

PECOS Enrollment IDI20250428000991, I20250520005065

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.

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42223 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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.

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.

LISA RENEE CORDELL RN

Registered Nurse