TYSON THOMAS HOLM MD
NPI 1366001323
Internal Medicine in Grand Forks, ND

Q: 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.

Q: What is Tyson Holm's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: 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 3 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.

Active since June 12, 2019PECOS EnrolledAccepts Medicare Assignment

1200 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-5000 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 29, 2022, Jun 12, 2019 (2 updates tracked since 2019).

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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 Lifecare Medical Center, and is a graduate of University Of North Dakota School Of Medicine (2019).

NPPES Registry Identity

NPI1366001323

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTYSON THOMAS HOLMCredential: MD

Location Address1200 S COLUMBIA RDGrand Forks, ND 58201

Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891

Phone(701) 780-5000

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2019

Enumeration DateJune 12, 2019

Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2022

✔ NPI 1366001323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in ND · 18789✔ Licensed in NE · 8511

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1200 S COLUMBIA RD, Grand Forks, ND 58201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, 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 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.

PECOS PAC ID4688906308

PECOS Enrollment IDI20220913003091

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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

350 services203 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

336 services125 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

124 services124 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

109 services90 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

96 services38 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

96 services95 patients

Hospital Affiliations CMS Care Compare 5

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

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241344

Location715 Delmore DriveRoseau, MN 56751 · Roseau County

Emergency services

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Northwood Deaconess Health Center

Critical Access Hospitals · Northwood, ND

OwnershipVoluntary non-profit - Church

CMS Certification Number351312

LocationPO Box 190Northwood, ND 58267 · Grand Forks County

Emergency services

Pembina County Memorial Hospital

Critical Access Hospitals · Cavalier, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351319

LocationBox 380Cavalier, ND 58220 · Pembina County

Emergency services

First Care Health Center

Critical Access Hospitals · Park River, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351326

Location115 Vivian StPark River, ND 58270 · Walsh County

Emergency services

Physician 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.

New Patient

$127.45 typical visit price

range $55.75 – $168.12

Typical copayment $31.86 (range $13.93 – $42.03)

Most-billed visit code 99204

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

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.

RAYMOND CHERIAN

Internal Medicine