TRAVIS HOLT (M.D.) – Colon & Rectal Surgery Physician, NPI 1932320819

TRAVIS HOLT (M.D.) is a healthcare provider. based in Bloomington, Illinois. specializing in COLORECTAL SURGERY (PROCTOLOGY), GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 125-046054 (IL). The NPI Number for TRAVIS HOLT (M.D.) is 1932320819

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
TRAVIS HOLT (M.D.)
NPI
1932320819
Phone
(309) 662-9022
Address
1505 Eastland Dr
Enumeration Date
1 May 2007
Last Update Date
7 December 2023

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3096630222
Graduation Year
2003 (23 years ago)
PAC ID
8729155353
Group Practice PAC ID
8921420308
Professional Enrollment ID
I20080924000443
Address ID
IL617043567BL2204XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

124 COLORECTAL SURGERY (PROCTOLOGY) in IL

Provider Addresses for TRAVIS HOLT (M.D.)

  • 1505 Eastland Dr

    Bloomington, IL 617013534

    Phone: (309) 662-9022

    Fax: (309) 662-2091

    Type: Location

  • 1505 EASTLAND DR

    BLOOMINGTON, IL 617013534

    Phone: (309) 662-9022

    Fax: (309) 662-2091

    Type: Mailing

  • 1300 FRANKLIN AVE STE 210

    NORMAL, IL 617613588

    Phone: (309) 268-3900

    Type: Location

  • 611 W PARK ST

    FAPC

    URBANA, IL 618012500

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $275.

Total Amount is formed as General ($275) + Research ($0) + Ownership ($0) = $275.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Braintree Laboratories, Inc. ($82).

Total Amount

$275

General + Research + Ownership

Payments

8

Total payment records

General Amount

$275

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2008-09-24

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
I20080924000443IColorectal Surgery (Proctology)ILTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes4343$0
99213Established patient office or other outpatient visit, 20-29 minutes4032$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3122$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
45380Biopsy of large bowel using a flexible endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 61701)

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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: 8921420308View full group profile
NameSpecialtyState
Nurse PractitionerIL
Clinical PsychologistIL
Hospitalist, Family PracticeTX
Clinical PsychologistIL
Cardiovascular Disease (Cardiology)IL
Cardiovascular Disease (Cardiology)IL
-IL
Diagnostic RadiologyIL
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

What identifier follows TRAVIS HOLT (M.D.) across health systems?
The NPI 1932320819 uniquely identifies TRAVIS HOLT (M.D.) in U.S. healthcare data.
Is TRAVIS HOLT (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists TRAVIS HOLT (M.D.) as active.
How should patients interpret TRAVIS HOLT (M.D.)'s specialty?
The extract shows Colon & Rectal Surgery Physician for TRAVIS HOLT (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TRAVIS HOLT (M.D.)?
TRAVIS HOLT (M.D.) is associated with Bloomington, Illinois in the same public data insurers reference.
Who maintains TRAVIS HOLT (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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