DAVID W HOLT (M.D.) – Diagnostic Radiology Physician, NPI 1942680830

DAVID W HOLT (M.D.) is a healthcare provider. based in Peoria, Illinois. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. MD61127468 (WA). The NPI Number for DAVID W HOLT (M.D.) is 1942680830

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DAVID W HOLT (M.D.)
NPI
1942680830
Phone
(309) 655-7768
Address
530 NE GLEN OAK AVE
Enumeration Date
4 June 2015
Last Update Date
24 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
5097474455
Graduation Year
2015 (11 years ago)
PAC ID
1355656877
Group Practice PAC ID
6608763016
Professional Enrollment ID
I20210602003198
Address ID
WA992021381SP525XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

2,121 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for DAVID W HOLT (M.D.)

  • 530 NE GLEN OAK AVE

    PEORIA, IL 616370001

    Phone: (309) 655-7768

    Type: Mailing

  • 801 S STEVENS ST

    SPOKANE, WA 992042654

    Phone: (509) 747-4455

    Fax: (509) 363-7064

    Type: Mailing

  • 780 Goethals Dr. Suite E

    Richland, WA 993529532

    Phone: (509) 942-2037

    Fax: (509) 942-3267

    Type: Location

  • 1100 Goethals Dr Ste E

    Richland, WA 993523301

    Phone: (509) 942-2037

    Fax: (509) 942-3267

    Type: Location

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 $762.

Total Amount is formed as General ($762) + Research ($0) + Ownership ($0) = $762.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Sirtex Medical Inc ($532).

Total Amount

$762

General + Research + Ownership

Payments

8

Total payment records

General Amount

$762

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20210601001230IDiagnostic RadiologyMTTBD
I20210602003198IDiagnostic RadiologyWATBD
I20230919003497IDiagnostic RadiologyORTBD

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
93880Ultrasound of both sides of head and neck blood flow274269$0
71046X-ray of chest, 2 views240237$0
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes229213$0
93971Ultrasound study of one arm or leg veins with compression and maneuvers132128$0
71045X-ray of chest, 1 view118115$0
View full utilization report →

Insurance plans in this area (ZIP 61637)

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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: 6608763016View full group profile

Reviews

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Frequently asked questions

Can I cross-check DAVID W HOLT (M.D.) using NPI 1942680830?
NPI 1942680830 belongs to DAVID W HOLT (M.D.); compare other details if you need extra assurance.
Is DAVID W HOLT (M.D.) shown as active in public data?
Registry records indicate DAVID W HOLT (M.D.) maintains an active NPI.
What expertise is attributed to DAVID W HOLT (M.D.)?
DAVID W HOLT (M.D.)'s specialty line reads Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DAVID W HOLT (M.D.)?
Travel planning: use Peoria, Illinois as the reference point for DAVID W HOLT (M.D.), then confirm.
Does DAVID W HOLT (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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