DOUGLAS HOLT (M.D.) – Radiation Oncology Physician, NPI 1417310046
Radiation Oncology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
61 RADIATION ONCOLOGY in UT
Provider Addresses for DOUGLAS HOLT (M.D.)
1250 E 3900 S STE B10
SALT LAKE CITY, UT 841241348
Phone: (801) 456-8401
Type: Location
30 N 1900 E RM 4C104
SALT LAKE CITY, UT 841320002
Phone: (801) 581-7606
Type: Mailing
3592 W 9000 S Ste 100
West Jordan, UT 840888860
Phone: (801) 601-2260
Fax: (801) 601-2255
Type: Location
625 E Broadway Ave
Jackson, WY 830018642
Phone: (801) 456-8401
Type: Location
3100 Channing Way
Idaho Falls, ID 834047533
Phone: (208) 227-2700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,463.
Total Amount is formed as General ($1,463) + Research ($0) + Ownership ($0) = $1,463.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Genentech USA, Inc. ($90).
Total Amount
$1,463
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,463
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20210629000813 | I | Radiation Oncology | ID | TBD |
| I20210820002684 | I | Radiation Oncology | UT | TBD |
| I20220328000776 | I | Radiation Oncology | WY | 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 |
|---|---|---|---|---|
| 77014 | Ct guidance for insertion of radiation therapy fields | 514 | 35 | $0 |
| 77427 | Radiation treatment management, 5 treatment sessions | 126 | 32 | $0 |
| 77300 | Calculation of radiation therapy dose | 116 | 35 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 69 | $0 |
| 77334 | Design and construction of complex radiation treatment device | 43 | 31 | $0 |
Insurance plans in this area (ZIP 84124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ID | |
| Nurse Practitioner | ID | |
| Emergency Medicine | ID | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| Emergency Medicine | ID | |
| - | TX | |
| Internal Medicine | ID | |
| Hematology/Oncology, Internal Medicine, Medical Oncology, Hematology/Oncology | UT | |
| H E M A T O L O G Y/ O N C O L O G Y | AL |
Reviews
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