2026 NPPES data Pediatric Surgery Physician NPI 1033168273 M.D.
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MARK HOLTERMAN, M.D.

Pediatric Surgery Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
853
Medicare Part D claims · 318 beneficiaries · Pediatric Surgery Physician avg: 272
What the federal data reveals: MARK HOLTERMAN, M.D. is a Pediatric Surgery Physician ([object Object]) practicing in CHICAGO, Illinois with a Medicare Part D prescribing footprint of 853 claims across 318 beneficiaries .

What stands out: MARK HOLTERMAN, M.D. filed 853 Medicare Part D claims in 2023 across CHICAGO, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK HOLTERMAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARK HOLTERMAN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/06/2006

NPI 1033168273

Primary specialty

Pediatric Surgery Physician

Niche

1,132 US NPIs in this specialty

Medicare Part D claims

853 214% vs specialty avg

2023 prescription claims

Specialty avg: 272

Specialty distribution in Illinois

How Pediatric Surgery Physician compares to other specialties among Illinois providers

Illinois providers

Pediatric Surgery Physician share within Illinois

1. Pediatric Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Surgery Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARK HOLTERMAN, M.D. is a Pediatric Surgery Physician provider practicing in CHICAGO, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1033168273. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK HOLTERMAN, M.D. appears in the CMS NPPES registry as a Pediatric Surgery Physician provider holding M.D. credentials at 1725 W HARRISON ST, CHICAGO, IL, 60612, with a listed phone of (312) 942-5397. NPI 1033168273 was issued on 05/06/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOLTERMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 853 prescription claims written by this provider, covering 318 Medicare beneficiaries and totaling roughly $18K in drug spend, with an opioid prescribing rate of 7.9%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Surgery Physician is a narrow specialty nationwide, with 1,132 enrolled providers across 52 states and an average of 272 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1725 W HARRISON ST
CHICAGO, IL 60612

Provider Details

NPI 1033168273
Specialty Pediatric Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 05/06/2006

Hospital and facility affiliations

Facilities where MARK HOLTERMAN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

DUPAGE IMMEDIATE CARE, LTD
OAK BROOK, IL

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to MARK HOLTERMAN, M.D.. To verify MARK HOLTERMAN, M.D.'s current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

853
Total Claims
$18K
Total Drug Cost
318
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
961
Total Day Supply
13,849
Generic Drug Cost
$9K
Opioid Claims
67 (7.9% rate)
Antibiotic Claims
288

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.04
Gender Split
69% female / 31% male
Age Distribution
<65: 47, 65-74: 150, 75-84: 91, 85+: 30

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Dexamethasone
125
Azithromycin
102
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
68
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
51
Cefdinir
36
Alprazolam
32
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
22
Escitalopram Oxalate
21
Ondansetron Odt
Ondansetron
18
Amoxicillin
17

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pediatric Surgery Physician Overview

How MARK HOLTERMAN, M.D. fits within the Pediatric Surgery Physician landscape nationally.

1,132
Pediatric Surgery Physician Providers in US
52
States with Pediatric Surgery Physician
272
Avg Claims per Provider

MARK HOLTERMAN, M.D.'s 853 claims are above the specialty average of 272.

Nearby Pediatric Surgery Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as HOLTERMAN.

Compare Pediatric Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK HOLTERMAN, M.D.'s specialty?
MARK HOLTERMAN, M.D. specializes in Pediatric Surgery Physician and practices in CHICAGO, Illinois. Credentials: M.D..
How much does MARK HOLTERMAN, M.D. prescribe under Medicare Part D?
In 2023, MARK HOLTERMAN, M.D. wrote 853 Medicare Part D claims totaling $18K in drug costs for 318 beneficiaries.
Where is MARK HOLTERMAN, M.D. located?
MARK HOLTERMAN, M.D. is located at 1725 W HARRISON ST, CHICAGO, IL, 60612. Phone: (312) 942-5397.
What is MARK HOLTERMAN, M.D.'s NPI number?
MARK HOLTERMAN, M.D.'s National Provider Identifier (NPI) is 1033168273, issued on 05/06/2006.
Does MARK HOLTERMAN, M.D. prescribe opioids?
Yes, MARK HOLTERMAN, M.D. had 67 opioid claims in 2023 with an opioid prescribing rate of 7.9%.
How many Pediatric Surgery Physician providers are there in the US?
There are 1,132 Pediatric Surgery Physician providers across 52 states in the US. The average Pediatric Surgery Physician provider writes 272 Medicare Part D claims per year.
What drugs does MARK HOLTERMAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, MARK HOLTERMAN, M.D.'s most frequently prescribed drugs include Dexamethasone, Azithromycin, Amoxicillin-Clavulanate Potass. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MARK HOLTERMAN, M.D. accept Medicare?
MARK HOLTERMAN, M.D. appears in CMS Medicare data with 853 Part D claims and 318 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK HOLTERMAN, M.D.'s credentials?
MARK HOLTERMAN, M.D.'s NPI is 1033168273 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology