DR. SUSANNA O BUCHHOLZ (MD) – Pediatrics Physician, NPI 1386638864

DR. SUSANNA O BUCHHOLZ (MD) is a healthcare provider. based in Santa rosa beach, Florida. specializing in PEDIATRIC MEDICINE. They hold the professional credentials MD. They hold a License No. ME90657 (FL). The NPI Number for DR. SUSANNA O BUCHHOLZ (MD) is 1386638864

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSANNA O BUCHHOLZ (MD)
NPI
1386638864
Phone
(850) 659-6556
Address
91 MACK BAYOU LOOP
Enumeration Date
9 September 2005
Last Update Date
18 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8508337500
Graduation Year
2001 (25 years ago)
PAC ID
2062471980
Group Practice PAC ID
0446153084
Professional Enrollment ID
I20041006001293
Address ID
FL325485063FO137XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,309 PEDIATRIC MEDICINE in FL

Provider Addresses for DR. SUSANNA O BUCHHOLZ (MD)

  • 91 MACK BAYOU LOOP

    SANTA ROSA BEACH, FL 324592604

    Phone: (850) 659-6556

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $288.

Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($101).

Total Amount

$288

General + Research + Ownership

Payments

14

Total payment records

General Amount

$288

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041006001293IPediatric MedicineFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446153084View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Family PracticeFL
Physician AssistantFL
-FL
P S Y C H I A T R YFL
Internal MedicineFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What number should I use to identify DR. SUSANNA O BUCHHOLZ (MD) for billing?
Administrative and clinical systems typically use NPI 1386638864 for DR. SUSANNA O BUCHHOLZ (MD).
Should I treat DR. SUSANNA O BUCHHOLZ (MD) as an active provider?
Patients and plans typically see DR. SUSANNA O BUCHHOLZ (MD) as active in the national extract.
How should patients interpret DR. SUSANNA O BUCHHOLZ (MD)'s specialty?
The extract shows Pediatrics Physician for DR. SUSANNA O BUCHHOLZ (MD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. SUSANNA O BUCHHOLZ (MD) in Santa Rosa Beach, Florida?
For routing, start with Santa Rosa Beach, Florida for DR. SUSANNA O BUCHHOLZ (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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