DR. DOUGLAS HOLUM MD
NPI 1669446787
Family Medicine in Mitchell, SD
About Dr. Douglas Holum Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOUGLAS HOLUM MD (NPI 1669446787) is an individual family medicine provider in Mitchell, South Dakota, licensed in South Dakota (3553) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
Dr. Douglas Holum 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.
Areas of Expertise CMS Part B claims 56
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avera Mckennan Hospital & University Health Center
Acute Care Hospitals · Sioux Falls, SDSanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPlatte Health Center
Critical Access Hospitals · Platte, SDSanford Chamberlain Medical Center
Critical Access Hospitals · Chamberlain, SDAvera Queen Of Peace
Critical Access Hospitals · Mitchell, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 24
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Holum's NPI number?
The NPI number for Douglas Holum is 1669446787. It was assigned to this individual provider in the NPPES registry on February 15, 2006.
Where is Douglas Holum located?
Douglas Holum practices at 818 W Havens St, Mitchell, SD 57301. The listed phone number is (605) 996-7526.
What is Douglas Holum's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Douglas Holum enrolled in Medicare?
Yes. Douglas Holum 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 Holum accept?
Health plans from Avera Health Plans, Medica and Oscar Insurance Company list Douglas Holum 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 Holum affiliated with any hospitals?
According to CMS data, Douglas Holum is affiliated with Avera Mckennan Hospital & University Health Center, Sanford Usd Medical Center, Platte Health Center, Sanford Chamberlain Medical Center and Avera Queen Of Peace.
When was this NPI record last updated?
The NPPES record for Douglas Holum was last updated on October 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.