BYRON M HOLM (MD) – Family Medicine Physician, NPI 1538154018

BYRON M HOLM (MD) is a healthcare provider. based in Plymouth, Indiana. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 01024911A (IN). The NPI Number for BYRON M HOLM (MD) is 1538154018

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
BYRON M HOLM (MD)
NPI
1538154018
Phone
(574) 936-7777
Address
2855 MILLER DRIVE
Enumeration Date
12 September 2005
Last Update Date
3 May 2022

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5742860200
Graduation Year
1969 (57 years ago)
PAC ID
8224012018
Group Practice PAC ID
8022405208
Professional Enrollment ID
I20090622000057
Address ID
IN465638093PL2855XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

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Provider Addresses for BYRON M HOLM (MD)

  • 2855, Miller Drive, Plymouth, Marshall County, Indiana, 46563, United States

    SUITE #117

    PLYMOUTH, IN 465638091

    Phone: (574) 936-7777

    Fax: (574) 941-1072

    Type: Location

  • La Porte Post Office, 1201, Lincolnway, La Porte, LaPorte County, Indiana, 46350, United States

    LA PORTE, IN 463521690

    Phone: (219) 326-2312

    Fax: (219) 326-2584

    Type: Mailing

  • 2855 MILLER DR STE 205

    PLYMOUTH, IN 465638093

    Phone: (574) 936-7777

    Fax: (888) 247-3121

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-06-22

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
I20090622000057IFamily PracticeINTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes29099$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes26787$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes11094$0
99315Nursing facility discharge day management, 30 minutes or less4037$0
View full utilization report →

Insurance plans in this area (ZIP 46563)

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Provider's Procedures

BYRON M HOLM (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIN85610Blood test, clotting time32435
FAMILY MEDICINEIN90670Pneumococcal vaccine for injection into muscle1111

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: 8022405208View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What unique ID ties claims to BYRON M HOLM (MD)?
NPI 1538154018 is assigned to BYRON M HOLM (MD) under the national enumeration system.
Is BYRON M HOLM (MD) currently active in the NPI registry?
CMS-published data lists BYRON M HOLM (MD) as an active registrant.
Does BYRON M HOLM (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for BYRON M HOLM (MD). Clinical services aligned with this taxonomy classification.
Where does public data place BYRON M HOLM (MD)?
The snapshot lists Plymouth, Indiana for BYRON M HOLM (MD); download NPPES for the complete set.
How can I contact BYRON M HOLM (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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