BYRON C HOLTH (MD) – Family Medicine Physician, NPI 1184680464

BYRON C HOLTH (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 24071 (MN). The NPI Number for BYRON C HOLTH (MD) is 1184680464

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
BYRON C HOLTH (MD)
NPI
1184680464
Phone
(612) 262-5000
Address
2925 CHICAGO AVE
Enumeration Date
25 April 2006
Last Update Date
19 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
7632360500
Graduation Year
1977 (49 years ago)
PAC ID
3971645177
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20100127000121

Contacts

Secure Messaging
bholth90241@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for BYRON C HOLTH (MD)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • Jefferson Highway, Champlin, Hennepin County, Minnesota, 55316, United States

    CHAMPLIN, MN 553163123

    Phone: (763) 236-0600

    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: 2010-01-27

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
I20100127000121IFamily PracticeMNTBD

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
36415Insertion of needle into vein for collection of blood sample17186$0
99214Established patient office or other outpatient visit, 30-39 minutes13374$0
80048Blood test, basic group of blood chemicals (calcium, total)8871$0
99213Established patient office or other outpatient visit, 20-29 minutes6550$0
80061Blood test, lipids (cholesterol and triglycerides)4841$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

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Provider's Procedures

BYRON C HOLTH (MD) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN83036Hemoglobin A1C level3721
FAMILY MEDICINEMN85610Blood test, clotting time8720
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle1515

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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for BYRON C HOLTH (MD)?
BYRON C HOLTH (MD) — NPI 1184680464 — is the standard way to identify this listing.
Does CMS list BYRON C HOLTH (MD) as active?
Yes — BYRON C HOLTH (MD) is active in the NPI listing used on this page.
What is BYRON C HOLTH (MD) best known for clinically?
Directory data describes BYRON C HOLTH (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is BYRON C HOLTH (MD) based?
BYRON C HOLTH (MD) is tied to Minneapolis, Minnesota in the data we show; additional addresses may exist on the full record.
Is the information about BYRON C HOLTH (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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