RYAN L HOLZWARTH (MD) – Dermatology Physician, NPI 1437102324
Dermatology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for RYAN L HOLZWARTH (MD)
2720 Fairview Ave N Ste 200
Roseville, MN 551131306
Phone: (651) 633-6883
Fax: (651) 331-3459
Type: Location
855 LAKELAND DR
CHIPPEWA FALLS, WI 547291687
Phone: (715) 839-9284
Type: Location
719 W HAMILTON AVE STE B
EAU CLAIRE, WI 547016970
Phone: (715) 930-6560
Fax: (715) 835-6370
Type: Mailing
2815 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 547292656
Phone: (715) 438-8255
Type: Location
2720 FAIRVIEW AVE N STE 200
ROSEVILLE, MN 551131306
Phone: (651) 633-6883
Fax: (651) 331-3459
Type: Mailing
904, 5th Avenue Northeast, Jamestown, Stutsman County, North Dakota, 58401, United States
JAMESTOWN, ND 584013437
Phone: (701) 253-4000
Fax: (701) 253-4040
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $21.
Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.
Last reported payment date: 2024-03-19 • Largest payer in this snapshot: Boston Scientific Corporation ($21).
Total Amount
$21
General + Research + Ownership
Payments
1
Total payment records
General Amount
$21
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $21 |
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: 2021-04-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190110002860 | I | Dermatology | MN | TBD |
| I20210415002726 | I | Dermatology | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 96910 | Therapy procedure using ultraviolet radiation with tar or petroleum jelly application | 489 | 20 | $0 |
| 96921 | Treatment of inflammatory skin disease using laser, 250.0-500.0 sq cm | 269 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 213 | 182 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 203 | 51 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 185 | 170 | $0 |
Insurance plans in this area (ZIP 55113)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DERMATOLOGY | ND | 17003 | Destruction of 2-14 skin growths | 718 | 206 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| D E R M A T O L O G Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN | |
| P O D I A T R Y | WI | |
| Physician Assistant | MN | |
| P A T H O L O G Y | IL | |
| Physician Assistant | MN | |
| P A T H O L O G Y | CT |
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