Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CHARLES LEE SOSEMAN HOLLIDAY MD
NPI 1750901609
Orthopaedic Surgery in Alexandria, MN

Q: What is Charles Holliday's NPI number?

The NPI number for Charles Holliday is 1750901609. It was assigned to this individual provider in the NPPES registry on April 21, 2020.

Q: What is Charles Holliday's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Charles Holliday was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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 April 21, 2020PECOS EnrolledAccepts Medicare Assignment

111 17TH AVE E STE 101, ALEXANDRIA, MN 56308(320) 762-1144(320) 762-1935 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 27, 2026, Dec 29, 2025, Aug 4, 2025 and 4 more (7 updates tracked since 2020).

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About Charles Lee Soseman Holliday Md NPPES

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

CHARLES LEE SOSEMAN HOLLIDAY MD (NPI 1750901609) is an individual orthopaedic surgery provider in Alexandria, Minnesota, licensed in Minnesota (69880) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Michigan Medical School (2020).

NPPES Registry Identity

NPI1750901609

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameCHARLES LEE SOSEMAN HOLLIDAYCredential: MD

Location Address111 17TH AVE E STE 101Alexandria, MN 56308-5274

Mailing Address111 17th Ave E Ste 101Alexandria, MN 56308-5274 · (320) 762-1144 · Fax (320) 762-1935

Phone(320) 762-1144

Fax(320) 762-1935

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2020

Enumeration DateApril 21, 2020

Last NPPES UpdateJuly 27, 20267 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1750901609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MN · 69880✔ Licensed in MN · 30945

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 69880 (MN), 14210215-1205 (UT)

111 17TH AVE E STE 101, Alexandria, MN 56308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah.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

Charles Lee Soseman Holliday 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 ID9638593007

PECOS Enrollment IDI20250830000562

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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipGovernment - State

CMS Certification Number460009

Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56308 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.

MR. DUANE C MALO LAT

Specialist/Technologist (Athletic Trainer)