1. Home
  2. Directory
  3. Kentucky
  4. Fort Campbell
  5. Surgery
  6. NPI Profile

TORBJORG HOLTESTAUL MD
NPI 1295275428
Surgery in Fort Campbell, KY

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: October 18, 2026.

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

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
Open in Google Maps ↗

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, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Torbjorg Holtestaul reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Clinic, Inc.
517 mi
Family Medicine
1400 SENATE AVE, SUITE # 105
Red Oak, IA 51566
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • Also billed through NPI 1821049156 (Nebraska)
  • 162 clinicians in this Medicare group
NPI 1942408117 (712) 623-7250
Aspirus Medford Hospital & Clinics, Inc.
595 mi
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1760912919 (715) 748-8100
St Lukes Clinic-Treasure Valley LLC
1,558 mi
Family Medicine
840 N 4TH E
Mountain Home, ID 83647
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1417297821 (208) 587-1850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8500
SAMANTHA LYNNE WINDER ATC
Specialist/Technologist (Athletic Trainer)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (435) 650-4301
BLANCHFILED ARMY COMMUNITY HOSPITAL
Military Hospital
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
KATHLEEN MEERA GROFF FNP-BC
Nurse Practitioner
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 956-0451
LINDSAY DAVIS
Counselor (Professional)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-0667
JEFFREY A SANFORD MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
ERIK FLOLO LMSW
Social Worker (Clinical)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400
MARK WILLIAM MCNEELY MD
Pathology (Anatomic Pathology & Clinical Pathology)
650 JOEL DR
FORT CAMPBELL, KY 42223
Christian County (270) 798-8400

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 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.

Where is Torbjorg Holtestaul located?

Torbjorg Holtestaul practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8400.

What is Torbjorg Holtestaul's specialty?

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

Is Torbjorg Holtestaul enrolled in Medicare?

Yes. Torbjorg Holtestaul 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.

Which organizations bill Medicare for Torbjorg Holtestaul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Torbjorg Holtestaul reassigns Medicare benefits to 3 organizations: Physicians Clinic, Inc. (Red Oak, IA), Aspirus Medford Hospital & Clinics, Inc. (Athens, WI) and St Lukes Clinic-Treasure Valley LLC (Mountain Home, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Torbjorg Holtestaul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Torbjorg Holtestaul accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Torbjorg Holtestaul 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 Torbjorg Holtestaul affiliated with any hospitals?

According to CMS data, Torbjorg Holtestaul is affiliated with St Luke's Regional Medical Center and Jennie Stuart Medical Center.

When was this NPI record last updated?

The NPPES record for Torbjorg Holtestaul was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.