DR. SCOTT TYLER HOLMSTROM (M.D.) – Hospitalist Physician, NPI 1760827174

DR. SCOTT TYLER HOLMSTROM (M.D.) is a healthcare provider. based in Slc, Utah. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 9139024-1205 (UT). The NPI Number for DR. SCOTT TYLER HOLMSTROM (M.D.) is 1760827174

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. SCOTT TYLER HOLMSTROM (M.D.)
NPI
1760827174
Phone
(801) 581-7606
Address
UNIVERSITY OF UTAH SOM DEPT OF MEDICINE
Enumeration Date
30 April 2013
Last Update Date
4 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
8012132995
Graduation Year
2013 (13 years ago)
PAC ID
1153648670
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20170630002226
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
sholmstrom66812@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

259 HOSPITALIST in UT

Provider Addresses for DR. SCOTT TYLER HOLMSTROM (M.D.)

  • UNIVERSITY OF UTAH SOM DEPT OF MEDICINE

    30 N 1900 E ROOM 4C104

    SLC, UT 841320001

    Phone: (801) 581-7606

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-06-30

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
I20170630002226IHospitalistUTTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes10232$0
99239Hospital discharge day management, more than 30 minutes3232$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1911$0
View full utilization report →

Insurance plans in this area (ZIP 84132)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What identifier follows DR. SCOTT TYLER HOLMSTROM (M.D.) across health systems?
The NPI 1760827174 uniquely identifies DR. SCOTT TYLER HOLMSTROM (M.D.) in U.S. healthcare data.
Should I treat DR. SCOTT TYLER HOLMSTROM (M.D.) as an active provider?
Patients and plans typically see DR. SCOTT TYLER HOLMSTROM (M.D.) as active in the national extract.
How should patients interpret DR. SCOTT TYLER HOLMSTROM (M.D.)'s specialty?
The extract shows Hospitalist Physician for DR. SCOTT TYLER HOLMSTROM (M.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. SCOTT TYLER HOLMSTROM (M.D.)?
DR. SCOTT TYLER HOLMSTROM (M.D.) is associated with Slc, Utah in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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