KRAIG M. HOLTORF (PA-C) – Physician Assistant, NPI 1417096058
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for KRAIG M. HOLTORF (PA-C)
3050 E RIVER BLUFF BLVD
OZARK, MO 657218807
Phone: (417) 829-5610
Fax: (417) 829-5588
Type: Location
PO BOX 2580
SPRINGFIELD, MO 658012580
Phone: (417) 829-4620
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $350.
Total Amount is formed as General ($350) + Research ($0) + Ownership ($0) = $350.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Medtronic, Inc. ($236).
Total Amount
$350
General + Research + Ownership
Payments
10
Total payment records
General Amount
$350
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $236 |
| Stryker Corporation | $52 |
| Pacira Pharmaceuticals Incorporated | $27 |
| Vericel Corporation | $20 |
| Orthofix Medical, Inc. | $14 |
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: 2015-02-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150209000949 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 93 | $0 |
| 22614 | Fusion of additional segment of spine | 40 | 11 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 36 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 29 | 14 | $0 |
Insurance plans in this area (ZIP 65721)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | MO | 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 16 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Physical Therapist In Private Practice | IA | |
| - | IA | |
| P O D I A T R Y | IA | |
| Pain Management, Physical Medicine And Rehabilitation | IA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Occupational Therapist In Private Practice | IL | |
| Physical Therapist In Private Practice | IA |
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