MICHAEL JOSEPH OSTERHOLT (MD) – Sports Medicine (Family Medicine) Physician, NPI 1588283634
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for MICHAEL JOSEPH OSTERHOLT (MD)
825 SE BISHOP BLVD STE 120
PULLMAN, WA 991635517
Phone: (509) 332-2828
Fax: (509) 973-7148
Type: Mailing
2500 W A St Ste 201
Moscow, ID 838436000
Phone: (208) 883-2828
Fax: (509) 973-7148
Type: Location
502 E MONROE ST
RAPID CITY, SD 577011400
Phone: (605) 755-4060
Fax: (605) 755-4012
Type: Mailing
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: 2024-12-17
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 |
|---|---|---|---|---|
| I20240820003632 | I | Family Practice | WA | TBD |
| I20241217001407 | I | Family Practice | ID | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99163)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | ID | |
| Certified Registered Nurse Anesthetist (Crna) | IN | |
| Family Practice | WA | |
| General Surgery | WA | |
| General Surgery | WA | |
| Orthopedic Surgery | ID | |
| Family Practice, Obstetrics/Gynecology | WA | |
| Emergency Medicine | WA |
Reviews
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