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PETER J HOLMBERG MD
NPI 1861832487
Pediatrics in Sioux Falls, SD

Active since June 27, 2013PECOS Enrolled
1600 W 22ND ST, SIOUX FALLS, SD 57105(507) 284-2511 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 14, 2023, Dec 22, 2022, Oct 7, 2020 and 1 more (4 updates tracked since 2018).

About Peter J Holmberg Md NPPES

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

PETER J HOLMBERG MD (NPI 1861832487) is an individual pediatrics provider in Sioux Falls, South Dakota, licensed in Minnesota (58057) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861832487
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NamePETER J HOLMBERGCredential: MD
Location Address1600 W 22ND STSioux Falls, SD 57105-1521
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(507) 284-2511
Sole ProprietorNo
Enumeration DateJune 27, 2013
Last NPPES UpdateMarch 14, 20234 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
✔ NPI 1861832487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MN · 58057
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1600 W 22ND ST, Sioux Falls, SD 57105
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan, Wellmark Health Plan of Iowa, Inc., Wellmark of South Dakota, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter J Holmberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Peter Holmberg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Clinic
Same address
Pediatrics
1600 W 22ND ST
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 826 clinicians in this Medicare group
NPI 1881610889 (605) 312-1000
Sanford Medical Center
0.8 mi
Family Medicine
1420 W 22NDST STE 104
Sioux Falls, SD 57105
  • Reassigned Medicare billing, South Dakota enrollment
  • 1,097 clinicians in this Medicare group
NPI 1093090342 (605) 328-4897

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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.

JANELLE VANDE GRIEND APRN-CPNP
Nurse Practitioner
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
KAILEN K KRAUSE
Registered Nurse (Pediatrics)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
AMANDA CHARLENE NOONAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 328-6585
KAYELYN J. WAGNER M.D.
Pediatrics (Pediatric Hematology-Oncology)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
AMBER JENAE VELDMAN MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
SYED HARIS ZAMIR KAZMI MD
Pediatrics
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
MRS. MORGAN DOLORES COLLINS RN, CDCES
Registered Nurse (Diabetes Educator)
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000
CHARLES A BROBERG DC, PA,
Physician Assistant
1600 W 22ND ST
SIOUX FALLS, SD 57105
Minnehaha County (605) 312-1000

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 Peter Holmberg's NPI number?

The NPI number for Peter Holmberg is 1861832487. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Where is Peter Holmberg located?

Peter Holmberg practices at 1600 W 22nd St, Sioux Falls, SD 57105. The listed phone number is (507) 284-2511.

What is Peter Holmberg's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Peter Holmberg enrolled in Medicare?

Yes. Peter Holmberg is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Peter Holmberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Holmberg reassigns Medicare benefits to 2 organizations: Sanford Clinic (Sioux Falls, SD) and Sanford Medical Center (Sioux Falls, SD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Holmberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Holmberg accept?

Health plans from Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Peter Holmberg 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.

When was this NPI record last updated?

The NPPES record for Peter Holmberg was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.