SAUNDRA HOLSETH (DO) – Sports Medicine (Family Medicine) Physician, NPI 1043601842
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 SPORTS MEDICINE in FL
Provider Addresses for SAUNDRA HOLSETH (DO)
3240 S Florida Ave
Lakeland, FL 338034574
Phone: (863) 646-4000
Fax: (863) 646-5189
Type: Location
5535 CYPRESS GARDENS BLVD STE 270
WINTER HAVEN, FL 338842241
Phone: (863) 401-4401
Fax: (866) 824-2717
Type: Location
7000 SW 62ND AVE
SUITE 401
SOUTH MIAMI, FL 331434716
Phone: (305) 284-7761
Type: Mailing
7031 SW 62ND AVE
SOUTH MIAMI, FL 331434701
Phone: (305) 284-7761
Type: Location
610 19TH ST
COLUMBUS, GA 319011528
Phone: (706) 322-7884
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Astellas Pharma US Inc ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170403000835 | I | Sports Medicine | FL | TBD |
| I20200616003617 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 33 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 18 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 20 | 20 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 15 | $0 |
| G0444 | Annual depression screening, 5 to 15 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33803)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Sports Medicine | FL |
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