2026 NPPES data Addiction Medicine (Preventive Medicine) Physician NPI 1801979463 M.D.
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STEPHEN HOLTSFORD, M.D.

Addiction Medicine (Preventive Medicine) Physician in SAINT CHARLES, 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
174
Medicare Part D claims · 30 beneficiaries · Addiction Medicine (Preventive Medicine) Physician avg: 959
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: STEPHEN HOLTSFORD, M.D. is a Addiction Medicine (Preventive Medicine) Physician ([object Object]) practicing in SAINT CHARLES, Illinois with a Medicare Part D prescribing footprint of 174 claims across 30 beneficiaries — 9% brand-name prescribing .

What stands out: STEPHEN HOLTSFORD, M.D. filed 174 Medicare Part D claims in 2023 across SAINT CHARLES, Illinois. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

STEPHEN HOLTSFORD, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

STEPHEN HOLTSFORD, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 10/24/2006

NPI 1801979463

Primary specialty

Addiction Medicine (Preventive Medicine) Physician

Rare

321 US NPIs in this specialty

Medicare Part D claims

174 82% vs specialty avg

2023 prescription claims

Specialty avg: 959

Specialty distribution in Illinois

How Addiction Medicine (Preventive Medicine) Physician compares to other specialties among Illinois providers

Illinois providers

Addiction Medicine (Preventive Medicine) Physician share within Illinois

1. Addiction Medicine (Preventive Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Preventive Medicine) Physician share within Illinois

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Preventive Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Preventive Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Preventive Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Preventive Medicine) 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).

STEPHEN HOLTSFORD, M.D. is a Addiction Medicine (Preventive Medicine) Physician provider practicing in SAINT CHARLES, Illinois, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1801979463. 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.

STEPHEN HOLTSFORD, M.D. appears in the CMS NPPES registry as a Addiction Medicine (Preventive Medicine) Physician provider holding M.D. credentials at 210 S 5TH ST STE 10, SAINT CHARLES, IL, 60174, with a listed phone of (630) 940-2468. NPI 1801979463 was issued on 10/24/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what HOLTSFORD 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 174 prescription claims written by this provider, covering 30 Medicare beneficiaries and totaling roughly $33K in drug spend, split 9% brand-name and 91% generic by claim count. 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.

Addiction Medicine (Preventive Medicine) Physician is a narrow specialty nationwide, with 321 enrolled providers across 44 states and an average of 959 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

210 S 5TH ST STE 10
SAINT CHARLES, IL 60174

Provider Details

NPI 1801979463
Specialty Addiction Medicine (Preventive Medicine) Physician
Credentials M.D.
Gender Male
NPI Issued 10/24/2006

Hospital and facility affiliations

Facilities where STEPHEN HOLTSFORD, 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.

COUNTY OF DUPAGE DEPARTMENT OF HEALTH
WHEATON, IL
LIGHTHOUSE RECOVERY
ST CHARLES, 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 STEPHEN HOLTSFORD, M.D.. To verify STEPHEN HOLTSFORD, 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.

Brand vs generic prescribing mix · Generic-heavy

STEPHEN HOLTSFORD, M.D. — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 174 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

174
Total Claims
$33K
Total Drug Cost
30
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
176
Total Day Supply
3,820
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$13K
Generic Drug Cost
$19K

Patient Demographics

Average Patient Age
59.4 years
Avg HCC Risk Score
1.34
Gender Split
63% female / 37% male
Age Distribution
<65: 16, 65-74: 13, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
99
Buprenorphine Hcl
30

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

Addiction Medicine (Preventive Medicine) Physician Overview

How STEPHEN HOLTSFORD, M.D. fits within the Addiction Medicine (Preventive Medicine) Physician landscape nationally.

321
Addiction Medicine (Preventive Medicine) Physician Providers in US
44
States with Addiction Medicine (Preventive Medicine) Physician
959
Avg Claims per Provider

STEPHEN HOLTSFORD, M.D.'s 174 claims are below the specialty average of 959.

Nearby Addiction Medicine (Preventive Medicine) Physician Providers in Illinois

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

Compare Addiction Medicine (Preventive Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is STEPHEN HOLTSFORD, M.D.'s specialty?
STEPHEN HOLTSFORD, M.D. specializes in Addiction Medicine (Preventive Medicine) Physician and practices in SAINT CHARLES, Illinois. Credentials: M.D..
How much does STEPHEN HOLTSFORD, M.D. prescribe under Medicare Part D?
In 2023, STEPHEN HOLTSFORD, M.D. wrote 174 Medicare Part D claims totaling $33K in drug costs for 30 beneficiaries.
Where is STEPHEN HOLTSFORD, M.D. located?
STEPHEN HOLTSFORD, M.D. is located at 210 S 5TH ST STE 10, SAINT CHARLES, IL, 60174. Phone: (630) 940-2468.
What is STEPHEN HOLTSFORD, M.D.'s NPI number?
STEPHEN HOLTSFORD, M.D.'s National Provider Identifier (NPI) is 1801979463, issued on 10/24/2006.
Does STEPHEN HOLTSFORD, M.D. prescribe more brand-name or generic drugs?
STEPHEN HOLTSFORD, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $13K in brand drug costs.
How many Addiction Medicine (Preventive Medicine) Physician providers are there in the US?
There are 321 Addiction Medicine (Preventive Medicine) Physician providers across 44 states in the US. The average Addiction Medicine (Preventive Medicine) Physician provider writes 959 Medicare Part D claims per year.
What drugs does STEPHEN HOLTSFORD, M.D. prescribe most often?
Based on 2023 Medicare Part D data, STEPHEN HOLTSFORD, M.D.'s most frequently prescribed drugs include Buprenorphine-Naloxone, Buprenorphine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does STEPHEN HOLTSFORD, M.D. accept Medicare?
STEPHEN HOLTSFORD, M.D. appears in CMS Medicare data with 174 Part D claims and 30 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify STEPHEN HOLTSFORD, M.D.'s credentials?
STEPHEN HOLTSFORD, M.D.'s NPI is 1801979463 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