TODD JERAMIE HOLTER PAC
NPI 1396742896
Physician Assistant in Woodbury, MN

Q: What is Todd Holter's NPI number?

The NPI number for Todd Holter is 1396742896. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Todd Holter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Holter was last updated on June 30, 2023. 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 30, 2005PECOS EnrolledAccepts Medicare Assignment

155 RADIO DR, WOODBURY, MN 55125(952) 831-8742(952) 977-3459 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Todd Jeramie Holter Pac NPPES

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

TODD JERAMIE HOLTER PAC (NPI 1396742896) is an individual physician assistant in Woodbury, Minnesota, licensed in Minnesota (9820) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains a secondary practice location in Oak Park Heights.

NPPES Registry Identity

NPI1396742896

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTODD JERAMIE HOLTERCredential: PAC

Location Address155 RADIO DRWoodbury, MN 55125-2619

Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516

Phone(952) 831-8742

Fax(952) 977-3459

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJune 30, 2005

Last NPPES UpdateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1396742896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 9820

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1684 (WI), 9820 (MN)

155 RADIO DR, Woodbury, MN 55125

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Secondary Practice Location 1

Location 15803 Neal Ave NOak Park Heights, MN 55082-2177 · Phone (651) 439-8807 · Fax (651) 439-0232

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Todd Jeramie Holter Pac 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 ID648173385

PECOS Enrollment IDI20040129000815, I20050221000060

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 4

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 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.

22 services20 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.

20 services17 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

17 services17 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number240066

Location927 West Churchill StreetStillwater, MN 55082 · Washington County

Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521308

Location265 Griffin Street EastAmery, WI 54001 · Polk County

Emergency services Birthing friendly

Hudson Hospital

Critical Access Hospitals · Hudson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521335

Location405 Stageline RoadHudson, WI 54016 · St. Croix County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55125 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

ERIC LEE KAUFMANN DPT

Physical Therapist