DOUGLAS HOLT M.D.
NPI 1417310046
Radiology - Radiation Oncology in Salt Lake City, UT

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
1250 E 3900 S STE B10, SALT LAKE CITY, UT 84124(801) 456-8401 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 17, 2025, Feb 16, 2022, Mar 31, 2016 (3 updates tracked since 2016).

About Douglas Holt M.d. NPPES

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

DOUGLAS HOLT M.D. (NPI 1417310046) is an individual radiation oncology provider in Salt Lake City, Utah, licensed in Utah (12250382-1205) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Eastern Idaho Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1417310046
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDOUGLAS HOLTCredential: M.D.
Location Address1250 E 3900 S STE B10Salt Lake City, UT 84124-1348
Mailing Address1250 E 3900 S Ste B10Salt Lake City, UT 84124-1348 · (801) 456-8401
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 2016
Enumeration DateMarch 31, 2016
Last NPPES UpdateNovember 17, 20253 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
NPI 1417310046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Licenses Licensed in UT · 12250382-1205 Licensed in ID · M-15792 Licensed in WY · 13723A
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

1250 E 3900 S STE B10, Salt Lake City, UT 84124

Secondary Practice Locations 3

Location 13592 W 9000 S Ste 100West Jordan, UT 84088-8860 · Phone (801) 601-2260 · Fax (801) 601-2255
Location 2625 E Broadway AveJackson, WY 83001-8642 · Phone (801) 456-8401
Location 33100 Channing WayIdaho Falls, ID 83404-7533 · Phone (208) 227-2700

Other Identifiers 3

Other13723AWY · Wy Md License
Other12250382-1205UT · Ut Md License
OtherM-15792ID · Id Md License

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

Douglas Holt M.d. 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 ID3072914084
PECOS Enrollment IDI20210629000813, I20210820002684, I20220328000776
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 15

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
365 services29 patients
Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
243 services48 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
123 services33 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
122 services50 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.
121 services83 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.
75 services63 patients

Hospital Affiliations CMS Care Compare 5

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

Eastern Idaho Regional Medical Center

Acute Care Hospitals · Idaho Falls, ID
3/5 CMS rating
OwnershipProprietary
CMS Certification Number130018
Location3100 Channing WayIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Douglas Holt's NPI number?

The NPI number for Douglas Holt is 1417310046. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Douglas Holt located?

Douglas Holt practices at 1250 E 3900 S Ste B10, Salt Lake City, UT 84124. The listed phone number is (801) 456-8401.

What is Douglas Holt's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Douglas Holt enrolled in Medicare?

Yes. Douglas Holt 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 Douglas Holt accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Medica and Molina Healthcare and 4 other insurers list Douglas Holt 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 Douglas Holt affiliated with any hospitals?

According to CMS data, Douglas Holt is affiliated with Eastern Idaho Regional Medical Center, Mountain View Hospital, St Mark's Hospital, Timpanogos Regional Hospital and St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Holt was last updated on November 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.