DR. PHILLIP WALTER HOLMES (M.D.) – Family Medicine Physician, NPI 1275590333

DR. PHILLIP WALTER HOLMES (M.D.) is a healthcare provider. based in Elbow lake, Minnesota. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 37994 (MN). The NPI Number for DR. PHILLIP WALTER HOLMES (M.D.) is 1275590333

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILLIP WALTER HOLMES (M.D.)
NPI
1275590333
Phone
(218) 685-7300
Address
1411 STATE HWY 79 EAST
Enumeration Date
1 May 2006
Last Update Date
20 February 2017

Doctor Profile

Medical School Name
SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Secondary Phone
3205894008
Graduation Year
1994 (32 years ago)
PAC ID
1254386766
Group Practice PAC ID
0648222349
Professional Enrollment ID
I20050317000644
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. PHILLIP WALTER HOLMES (M.D.)

  • 1411 STATE HWY 79 EAST

    ELBOW LAKE, MN 56531

    Phone: (218) 685-7300

    Fax: (218) 685-7292

    Type: Location

  • Lake Region Healthcare, 712, South Cascade Street, Downtown, Fergus Falls, Otter Tail County, Minnesota, 56537, United States

    FERGUS FALLS, MN 565372913

    Phone: (218) 736-8000

    Fax: (218) 685-7292

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $69.

Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.

Last reported payment date: 2024-03-13 • Largest payer in this snapshot: Abbott Laboratories ($24).

Total Amount

$69

General + Research + Ownership

Payments

4

Total payment records

General Amount

$69

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-13

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: 2005-03-17

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
I20050317000644IFamily 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2714$0
View full utilization report →

Insurance plans in this area (ZIP 56531)

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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: 0648222349View full group profile
NameSpecialtyState
Nurse PractitionerMN
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)MN
General SurgeryMN
Nurse PractitionerMN
Family PracticeMN
Cardiovascular Disease (Cardiology), Internal MedicineMN
C H I R O P R A C T I CMN
Physician AssistantMN
Hematology/Oncology, Internal MedicineMN

Reviews

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Frequently asked questions

Where can patients find DR. PHILLIP WALTER HOLMES (M.D.)'s NPI?
You can confirm DR. PHILLIP WALTER HOLMES (M.D.) with NPI 1275590333; it appears in the national provider directory.
Is DR. PHILLIP WALTER HOLMES (M.D.) active in the national directory?
DR. PHILLIP WALTER HOLMES (M.D.)'s public NPI profile is in an active state.
What kind of provider is DR. PHILLIP WALTER HOLMES (M.D.)?
The page reflects Family Medicine Physician for DR. PHILLIP WALTER HOLMES (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. PHILLIP WALTER HOLMES (M.D.) practice in Minnesota?
You will see Elbow Lake, Minnesota on file for DR. PHILLIP WALTER HOLMES (M.D.) alongside any extra practice locations.
Is DR. PHILLIP WALTER HOLMES (M.D.) a real provider?
This page reflects official NPPES data for NPI 1275590333. Always confirm identity and privileges with the practice and licensing boards.

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