STEPHEN T HOLTHAUS MD
NPI 1386756732
Family Medicine in Rice Lake, WI

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1700 W STOUT ST, RICE LAKE, WI 54868(715) 236-8100 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen T Holthaus Md NPPES

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

STEPHEN T HOLTHAUS MD (NPI 1386756732) is an individual family medicine provider in Rice Lake, Wisconsin, licensed in Wisconsin (40336) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Rice Lake, and is a graduate of Northwestern University Feinberg Medical School (1995).

NPPES Registry Identity

NPI1386756732
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN T HOLTHAUSCredential: MD
Location Address1700 W STOUT STRice Lake, WI 54868-5000
Mailing Address1000 N Oak AveMarshfield, WI 54449-5777 · (715) 387-5511
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 1995
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 2, 2009
NPI 1386756732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 40336
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 W STOUT ST, Rice Lake, WI 54868

Other Identifiers 3

Medicare UPING76041
Medicaid32469100WI
Medicare ID-Type Unspecified000205105WI

Accepted 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

Stephen T Holthaus 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 ID3173599842
PECOS Enrollment IDI20040903000196
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

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

Marshfield Medical Center - Rice Lake

Acute Care Hospitals · Rice Lake, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520011
Location1700 West Stout StreetRice Lake, WI 54868 · Barron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.25
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers48 claims104 services$5.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims18 services$0.95 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers11 claims105 services$8.09 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers11 claims260 services$3.20 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers16 claims18 services$18.28 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims18 services$119.51 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 20

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

Otolaryngology
1700 W STOUT ST
RICE LAKE, WI 54868
Physician Assistant
1700 W STOUT ST
RICE LAKE, WI 54868
Family Medicine
1700 W STOUT ST
RICE LAKE, WI 54868
Obstetrics & Gynecology
1700 W STOUT ST
RICE LAKE, WI 54868
Occupational Therapist
1700 W STOUT ST
RICE LAKE, WI 54868
Nurse Practitioner (Family)
1700 W STOUT ST
RICE LAKE, WI 54868
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1700 W STOUT ST
RICE LAKE, WI 54868
Emergency Medicine
1700 W STOUT ST
RICE LAKE, WI 54868

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 Stephen Holthaus's NPI number?

The NPI number for Stephen Holthaus is 1386756732. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Stephen Holthaus located?

Stephen Holthaus practices at 1700 W Stout St, Rice Lake, WI 54868. The listed phone number is (715) 236-8100.

What is Stephen Holthaus's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Stephen Holthaus enrolled in Medicare?

Yes. Stephen Holthaus 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 Stephen Holthaus accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Stephen Holthaus 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 Stephen Holthaus affiliated with any hospitals?

According to CMS data, Stephen Holthaus is affiliated with Marshfield Medical Center - Rice Lake.

When was this NPI record last updated?

The NPPES record for Stephen Holthaus was last updated on September 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.