STEPHEN HOLTSFORD (M.D.) – Emergency Medicine Physician, NPI 1801979463
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
101 ADDICTION MEDICINE in IL
Provider Addresses for STEPHEN HOLTSFORD (M.D.)
300 Randall Rd
Emergency Dept
Geneva, IL 601344200
Phone: (630) 208-4009
Fax: (630) 208-0942
Type: Location
210 S 5TH ST STE 10
SAINT CHARLES, IL 601742700
Phone: (630) 940-2468
Type: Location
Wheeling Post Office, 250, West Dundee Road, Wheeling, Wheeling Township, Cook County, Illinois, 60090, United States
WHEELING, IL 600909030
Phone: (847) 495-1617
Fax: (847) 537-4866
Type: Mailing
Northwestern Medicine Delnor Hospital, 300, Randall Road, Geneva, Kane County, Illinois, 60134, United States of America
EMERGENCY DEPT
GENEVA, IL 601344200
Phone: (630) 208-4009
Fax: (630) 208-0942
Type: Location
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 $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Braeburn Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Braeburn Inc. | $13 |
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: 2024-08-15
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 |
|---|---|---|---|---|
| I20110209000111 | I | Emergency Medicine | IL | TBD |
| I20240815003098 | I | Addiction Medicine | IL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60134)
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