Doctor profile · Federal record
Dr. Tallulah Holmstrom, MD
Internal Medicine Physician (CMS: Internal Medicine) · Lugoff, SC
- NPI 1053363887
- Accepts Medicare
- 34 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
710 Dewitt Dr
Lugoff, SC 290789069
(803) 438-7566
fax (803) 438-4371 - Mailing address
-
Po Box 1259, Sentinel Health Partners PA
Camden, SC 290211259
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- February 24, 2012
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- South Carolina #16660
- Medicaid
- SC #166607
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053363887. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
2,298
Distinct HCPCS
10
Medicare allowed
$151,196
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99490 |
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 488 | 81 | $60 | |
36415 |
Insertion of needle into vein for collection of blood sample | 386 | 240 | $8 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 303 | 206 | $122 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 251 | 201 | $86 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 231 | 231 | $124 | |
G0008 |
Administration of influenza virus vaccine | 73 | 73 | $29 | |
99439 |
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 70 | 22 | $45 | |
99489 |
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 59 | 20 | $67 | |
96372 |
Injection of drug or substance under skin or into muscle | 54 | 20 | $13 | |
90686 |
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 38 | 38 | $22 |
In context: peer comparison
Among 3 peers in Lugoff Internal Medicine Physician, average services per provider: 122. This provider delivers 19× the peer median.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Optinose US, INC. | 1 | $19.34 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,131
Patients
927
Total drug cost
$47,759
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 441 | 129 | $7,956 |
| Amlodipine Besylate | Generic | 407 | 128 | $3,518 |
| Omeprazole | Generic | 280 | 81 | $4,746 |
| Losartan Potassium | Generic | 260 | 82 | $4,835 |
| Atorvastatin Calcium | Generic | 253 | 79 | $3,866 |
| Furosemide | Generic | 206 | 59 | $1,434 |
| Rosuvastatin Calcium | Generic | 188 | 52 | $4,144 |
| Pravastatin Sodium | Generic | 159 | 48 | $3,683 |
| Simvastatin | Generic | 153 | 45 | $2,096 |
| Pantoprazole Sodium | Generic | 140 | 39 | $2,061 |
Hospital affiliations
Frequently asked questions
What is Dr. Tallulah Holmstrom's medical specialty?
Dr. Tallulah Holmstrom practices Internal Medicine Physician in Lugoff, SC.
Where does Dr. Tallulah Holmstrom practice?
Dr. Tallulah Holmstrom practices at 710 Dewitt Dr, Lugoff, SC 290789069. Office phone: 8034387566.
What is Dr. Tallulah Holmstrom's NPI?
Dr. Tallulah Holmstrom's National Provider Identifier (NPI) is 1053363887, issued by NPPES.
Does Dr. Tallulah Holmstrom accept Medicare assignment?
Yes. Dr. Tallulah Holmstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tallulah Holmstrom commonly perform?
Top Medicare-reported procedures in 2023: Chronic care management services (HCPCS 99490); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.