TYSON THOMAS HOLM MD
NPI 1366001323
Internal Medicine in Grand Forks, ND
About Tyson Thomas Holm Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYSON THOMAS HOLM MD (NPI 1366001323) is an individual internal medicine provider in Grand Forks, North Dakota, licensed in North Dakota (18789) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of University Of North Dakota School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Tyson Thomas Holm 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.
Medicare Billing Reassignment
Medicare enrollment records show Tyson Holm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- 701 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Altru Hospital
Acute Care Hospitals · Grand Forks, NDNorthwood Deaconess Health Center
Critical Access Hospitals · Northwood, NDPembina County Memorial Hospital
Critical Access Hospitals · Cavalier, NDUnity Medical Center
Critical Access Hospitals · Grafton, NDFirst Care Health Center
Critical Access Hospitals · Park River, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
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 Tyson Holm's NPI number?
The NPI number for Tyson Holm is 1366001323. It was assigned to this individual provider in the NPPES registry on June 12, 2019.
Where is Tyson Holm located?
Tyson Holm practices at 1200 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-5000.
What is Tyson Holm's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Tyson Holm enrolled in Medicare?
Yes. Tyson 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.
Which organization bills Medicare for Tyson Holm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tyson Holm reassigns Medicare benefits to Altru Health System (Grand Forks, ND). The 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 Tyson Holm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tyson Holm accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Tyson 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 Tyson Holm affiliated with any hospitals?
According to CMS data, Tyson Holm is affiliated with Altru Hospital, Northwood Deaconess Health Center, Pembina County Memorial Hospital, Unity Medical Center and First Care Health Center.
When was this NPI record last updated?
The NPPES record for Tyson Holm was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Tyson Thomas Holm, MD · NPI 1366001323
Internal Medicine physician in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since June 12, 2019.
## Identity
- **NPI:** 1366001323 (Entity type: Individual)
- **Enumerated:** June 12, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 18789 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S COLUMBIA RD, Grand Forks, ND 58201
- **Phone:** (701) 780-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Altru Health System (NPI 1154346161, Grand Forks, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Dakota School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1366001323) · Data from the CMS NPPES public registry.