Philip Bruce Imholte, M.D.
NPI 1760604623ActiveIndividual· Family Medicine· Grand Rapids, MN
Family Medicine (M.D.) with Grand Itasca Clinic and Hospital, practicing in Grand Rapids, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $70,659 for 1,121 claims, against $23,284 paid for services in 2024. Lists Grand Itasca Clinic and Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1760604623 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | May 2, 2007 |
| Last updated in NPPES | Oct 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 49754 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 308 across 16 procedure codes |
| Paid by Medicare | $23,284 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,121 · 2,211 30-day fills |
|---|---|
| Patients | 269 |
| Total drug cost | $70,659 |
| Generic share | 91% of claims |
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Grand Itasca Clinic and HospitalGrand Rapids, MN · 323 clinicians
Hospital affiliations
- Grand Itasca Clinic and HospitalGrand Rapids, MN
- North Memorial Health HospitalRobbinsdale, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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