THOMAS HOLSAETER M.D.
NPI 1801235965
Hospitalist in Middletown, NY

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
58.85/100
CMS Quality Rating
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-3370(845) 333-3372 Get Directions Write a Review

NPPES record last updated: January 2, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jan 2, 2024, Mar 19, 2019, Feb 23, 2016 (3 updates tracked since 2016).

About Thomas Holsaeter M.d. NPPES

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

THOMAS HOLSAETER M.D. (NPI 1801235965) is an individual hospitalist provider in Middletown, New York, licensed in New York (283790) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Kaiser Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801235965
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameTHOMAS HOLSAETERCredential: M.D.
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-3370 · Fax (845) 333-3372
Fax(845) 333-3372
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 21, 2013
Last NPPES UpdateJanuary 2, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2024
NPI 1801235965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 283790
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 LP02951 (RI), 283790 (NY), 71935 (AZ)
707 E MAIN ST, Middletown, NY 10940

Secondary Practice Locations 2

Location 168 Harris Bushville RdHarris, NY 12742 · Phone (845) 333-8484 · Fax (845) 794-5675
Location 25880 S Hospital DrGlobe, AZ 85501-9447 · Phone (928) 425-3261 · Fax (866) 368-6349

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

Thomas Holsaeter 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 ID8628296605
PECOS Enrollment IDI20240116003121, I20260313003797
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.

Kaiser Foundation Hospital

Acute Care Hospitals · Honolulu, HI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120011
Location3288 Moanalua RdHonolulu, HI 96819 · Honolulu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

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.

58.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality39.4
Improvement Activities40
Cost49.45

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers75 claims76 services$15.48 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers89 claims90 services$72.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Emergency Medicine
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940

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 Thomas Holsaeter's NPI number?

The NPI number for Thomas Holsaeter is 1801235965. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Thomas Holsaeter located?

Thomas Holsaeter practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-3370.

What is Thomas Holsaeter's specialty?

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

Is Thomas Holsaeter enrolled in Medicare?

Yes. Thomas Holsaeter 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 Thomas Holsaeter accept?

Health plans from Blue Cross Blue Shield of Arizona list Thomas Holsaeter 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 Thomas Holsaeter affiliated with any hospitals?

According to CMS data, Thomas Holsaeter is affiliated with Kaiser Foundation Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Holsaeter was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.