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STEVEN J. HOLFINGER MD
NPI 1376937359
Internal Medicine - Sleep Medicine in Columbus, OH

Active since March 26, 2015PECOS EnrolledAccepts Medicare Assignment
95.31/100
CMS Quality Rating
543 TAYLOR AVE FL 3, COLUMBUS, OH 43203(614) 688-6540(614) 293-5503 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 14, 2021, Mar 15, 2021, May 10, 2019 and 1 more (4 updates tracked since 2018).

About Steven J. Holfinger Md NPPES

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

STEVEN J. HOLFINGER MD (NPI 1376937359) is an individual sleep medicine provider in Columbus, Ohio, licensed in Ohio (35.133245) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1376937359
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameSTEVEN J. HOLFINGERCredential: MD
Location Address543 TAYLOR AVE FL 3Columbus, OH 43203-1278
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-4925 · Fax (614) 293-5503
Phone(614) 688-6540
Fax(614) 293-5503
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2015
Enumeration DateMarch 26, 2015
Last NPPES UpdateMay 14, 20214 updates tracked since enumeration
NPPES CertifiedMay 14, 2021
✔ NPI 1376937359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in OH · 35.133245
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
543 TAYLOR AVE FL 3, Columbus, OH 43203
Open in Google Maps ↗

Secondary Practice Location 1

Location 13595 Olentangy River Rd, Riverside Community MedicineColumbus, OH 43214-3440 · Phone (614) 566-5456 · Fax (614) 566-6902

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Steven J. Holfinger 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 ID3577871706
PECOS Enrollment IDI20190806003809
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 5

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 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.
78 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
25 services25 patients
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation G0399
A Home Sleep Test (HST) with a Type III Portable Monitor is an unattended test that records your breathing, heart rate, and oxygen levels during sleep. This test uses a minimum of 4 channels to monitor these parameters, helping to diagnose sleep disorders.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43203 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

95.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.58
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
16 suppliers125 claims125 services$34.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers72 claims72 services$79.87 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
9 suppliers55 claims115 services$29.77 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers67 claims314 services$15.05 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers61 claims299 services$12.76 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers142 claims142 services$47.53 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 19

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

DR. GARY KALMAN SCHNEIDER DO
Internal Medicine (Endocrinology, Diabetes & Metabolism)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 685-3333
DERRICK D. HERMAN MD
Internal Medicine (Pulmonary Disease)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 688-6540
STACEY M. LAMBERT APRN-CNP
Nurse Practitioner
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 293-7677
RONALD L WHISLER M.D.
Internal Medicine (Rheumatology)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 293-4837
OLIVIA K. PRESTON APRN-CNP
Nurse Practitioner (Family)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 688-6540
MELISSA DANIELLE EDELL NP
Nurse Practitioner (Family)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 293-2222
GANESH B SHIDHAM MD
Internal Medicine (Nephrology)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 293-4837
CALI MICHELLE HAZEL-VENRICK LISW-S
Social Worker (Clinical)
543 TAYLOR AVE FL 3
COLUMBUS, OH 43203
Franklin County (614) 293-5123

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 Steven Holfinger's NPI number?

The NPI number for Steven Holfinger is 1376937359. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Steven Holfinger located?

Steven Holfinger practices at 543 Taylor Ave Fl 3, Columbus, OH 43203. The listed phone number is (614) 688-6540.

What is Steven Holfinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Steven Holfinger enrolled in Medicare?

Yes. Steven Holfinger 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.

What insurance does Steven Holfinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Steven Holfinger 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 Steven Holfinger affiliated with any hospitals?

According to CMS data, Steven Holfinger is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Steven Holfinger was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.