DAVID G. HOLZER MD
NPI 1619556172
Hospitalist in Sheboygan, WI

Active since April 03, 2021PECOS EnrolledAccepts Medicare Assignment
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 802-2100(920) 802-1500 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Aug 10, 2022, Apr 3, 2021 (3 updates tracked since 2021).

About David G. Holzer Md NPPES

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

DAVID G. HOLZER MD (NPI 1619556172) is an individual hospitalist provider in Sheboygan, Wisconsin, licensed in Wisconsin (83667) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1619556172
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDAVID G. HOLZERCredential: MD
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 802-1500
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2021
Enumeration DateApril 3, 2021
Last NPPES UpdateAugust 28, 20243 updates tracked since enumeration
NPPES CertifiedAugust 28, 2024
NPI 1619556172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 83667
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 83667 (WI), 12974706-1205 (UT)
3400 UNION AVE, Sheboygan, WI 53081

Secondary Practice Location 1

Location 130 N 1900 E Rm 4C116Salt Lake City, UT 84132-0002 · Phone (801) 581-7606

Other Identifiers 1

Medicaid100279366WI

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

David G. Holzer 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 ID9931583994
PECOS Enrollment IDI20240704000707
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 3

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.

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.
88 services35 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.
41 services40 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Aurora Medical Center

Acute Care Hospitals · Grafton, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520207
Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

Nurse Practitioner
3400 UNION AVE
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Emergency Medicine
3400 UNION AVE
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081

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 David Holzer's NPI number?

The NPI number for David Holzer is 1619556172. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is David Holzer located?

David Holzer practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 802-2100.

What is David Holzer's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Holzer enrolled in Medicare?

Yes. David Holzer 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 David Holzer accept?

Health plans from CareSource (Common Ground Healthcare) list David Holzer 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 David Holzer affiliated with any hospitals?

According to CMS data, David Holzer is affiliated with Aurora Health Care Central Inc and Aurora Medical Center.

When was this NPI record last updated?

The NPPES record for David Holzer was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.