Dr Todd H Holm, MD - Medicare Family Practice in Prior Lake, MN

Dr Todd H Holm, MD is a medicare enrolled "Family Medicine" physician in Prior Lake, Minnesota. He went to Mayo Medical School and graduated in 1991 and has 35 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Bluestone Physician Services Pa, Bluestone Physician Services Wisconsin Sc and his current practice location is 16276 Lakeside Ave Se, Prior Lake, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 237-2627.

Dr Todd H Holm is licensed to practice in Minnesota (license number 37742) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811971179.

Contact Information

Dr Todd H Holm, MD
16276 Lakeside Ave Se,
Prior Lake, MN 55372-2493
(952) 237-2627
Not Available

Map and Direction




Physician's Profile

Full NameDr Todd H Holm
GenderMale
SpecialityFamily Practice
Experience35 Years
Location16276 Lakeside Ave Se, Prior Lake, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Todd H Holm attended and graduated from Mayo Medical School in 1991
  NPI Data:
  • NPI Number: 1811971179
  • Provider Enumeration Date: 12/01/2005
  • Last Update Date: 12/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517000342
  • Enrollment ID: I20100202000760

Medical Identifiers

Medical identifiers for Dr Todd H Holm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811971179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 33633-20 (Wisconsin)Secondary
207Q00000XFamily Medicine 37742 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Interim Healthcare Of The Twin CitiesRoseville, MNHome health agency
Minnesota Hospice LlcLakeville, MNHospice
St Croix HospiceOakdale, MNHospice
Serenity Hospice CareGermantown, WIHospice
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bluestone Physician Services Pa448665833354
Bluestone Physician Services Wisconsin Sc771929678926

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Todd H Holm allows following entities to bill medicare on his behalf.
Entity NameBluestone Physician Services Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578595971
PECOS PAC ID: 4486658333
Enrollment ID: O20060907000047

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Todd H Holm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Todd H Holm, MD
16276 Lakeside Ave Se,
Prior Lake, MN 55372-2493

Ph: (952) 237-2627
Dr Todd H Holm, MD
16276 Lakeside Ave Se,
Prior Lake, MN 55372-2493

Ph: (952) 237-2627

Reviews and Comments


Family Medicine Doctors in Prior Lake, MN

Karen Marie Weiler, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Dr. Scott Edward Wavinak, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Troy A Scott, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Jessica A Vanderscoff, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4151 Willowwood St Se, Prior Lake, MN 55372
Phone: 952-226-2600    
Doreen Lubi Isubikalu,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2330 Sioux Trail Nw, Prior Lake, MN 55372
Phone: 952-496-6150    
Daniel Trajano,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372
Phone: 952-993-7750    
Dr. Samuel Asante-buabeng, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4670 Park Nicollet Ave Se, Prior Lake, MN 55372
Phone: 952-993-7750    Fax: 952-993-8820

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.