ANTHONY PAUL HOLST – Sports Medicine (Family Medicine) Physician, NPI 1124681804

ANTHONY PAUL HOLST is a healthcare provider. based in Erie, Pennsylvania. specializing in SPORTS MEDICINE. They hold a License No. 5101028281 (MI). The NPI Number for ANTHONY PAUL HOLST is 1124681804

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY PAUL HOLST
NPI
1124681804
Phone
(801) 404-4154
Address
4129 CANTERBURY DR
Enumeration Date
17 April 2019
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
LAKE ERIE COL OF OSTEO MED AT SETON HILL UNIV
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
1557694379
Group Practice PAC ID
5698669919
Professional Enrollment ID
I20240913003485
Address ID
MI487399277HA3076XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

341 SPORTS MEDICINE in OH

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Provider Addresses for ANTHONY PAUL HOLST

  • 4129, Canterbury Drive, Zimmerly, Millcreek Township, Erie County, Pennsylvania, 16506, United States

    ERIE, PA 165065334

    Phone: (801) 404-4154

    Type: Mailing

  • University Hospitals Richmond Medical Center, 27100, Chardon Road, Cleveland, Cuyahoga County, Ohio, 44143, United States

    RICHMOND HEIGHTS, OH 441431192

    Phone: (801) 404-4154

    Type: Location

  • 27100 Chardon Rd

    Richmond Heights, OH 441431192

    Phone: (801) 404-4154

    Type: Location

  • 3705 Olentangy River Rd Ste 260

    Columbus, OH 432143467

    Phone: (614) 533-6611

    Fax: (614) 566-1429

    Type: Location

  • 4000 WELLNESS DR

    MIDLAND, MI 486702000

    Phone:

    Type: Mailing

  • 640 COURT ST

    WEST BRANCH, MI 486619390

    Phone: (989) 345-7474

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2023-06-19 • Largest payer in this snapshot: Lilly USA, LLC ($68).

Total Amount

$110

General + Research + Ownership

Payments

6

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-19

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: 2024-09-13

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
I20240913003485ISports MedicineMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 16506)

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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: 5698669919View full group profile
NameSpecialtyState
Orthopedic SurgeryMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Physical Therapist In Private PracticeMI
Orthopedic SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
Family PracticeMI
Nurse PractitionerMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the registry number for ANTHONY PAUL HOLST?
The registry entry for ANTHONY PAUL HOLST shows NPI 1124681804.
Should I treat ANTHONY PAUL HOLST as an active provider?
Patients and plans typically see ANTHONY PAUL HOLST as active in the national extract.
Which specialty label fits ANTHONY PAUL HOLST?
NPPES ties ANTHONY PAUL HOLST to Sports Medicine (Family Medicine) Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ANTHONY PAUL HOLST in Erie, Pennsylvania?
For routing, start with Erie, Pennsylvania for ANTHONY PAUL HOLST, then verify phone and hours locally.
Can I export ANTHONY PAUL HOLST's record?
You can download the official NPPES record; we summarize key fields for readability.

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