Jed H Erickson, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

P229 Issued in ID

Practice address

1818 S 10TH Ave
Suite 250
Caldwell, ID 83605-4803

Phone

(208) 855-8588

Fax

(208) 459-8628

NPI assigned

Aug 24, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kylin Kovac DPM PLLCGroup PAC ID 4284873480, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brio Idaho Healthcare Home health agency, Idaho Falls, ID, CCN 137128
• Mountain View Hospital Hospital, Idaho Falls, ID, CCN 130065

Merit-based Incentive Payment System (MIPS)

Final score

88.05 of 100Reported as group

Quality

76.1

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerickson@ifaac.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kylin Kovac DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Idaho Falls, ID
  • NPI 1023451598
  Medicare reassignment Care Compare group NPD
• P. Roman Burk DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Meridian, ID
  • NPI 1649563347
  Medicare reassignment NPD
• Kylin Kovac DPM PLLC

  • Podiatrist
  • Rexburg, ID
  • NPI 1871103499
  NPD
• Bruce G. Tolman, DMP

  • Podiatric Clinic/Center
  • Idaho Falls, ID
  • NPI 1205021714
  NPD (past)
• Core Medicine Idaho, LLC

  • Primary Care Clinic/Center
  • Caldwell, ID
  • NPI 1043927882
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brio Idaho Home Health LLC

  • Home Health Agency
  • Idaho Falls, ID
  • NPI 1285189548
  Care Compare affiliation
• Mountain View Hospital LLC

  • General Acute Care Hospital
  • Idaho Falls, ID
  • NPI 1669462362
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1114207917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S 10TH AVE",
            "address_2": "SUITE 250",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054803",
            "telephone_number": "208-855-8588",
            "fax_number": "208-459-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S 10TH AVE",
            "address_2": "SUITE 250",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054803",
            "telephone_number": "208-855-8588",
            "fax_number": "208-459-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JED",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "ID",
            "license": "P229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jitka Michaela Elizarraras
• Mary C Ellis, MD
• Mary Louise Elmore, COTA/L
• Lilliana Emmanuelli, DC
• Jennifer Marie English
• Marisa Erickson, RD, LD
• Es Counseling, LLC.
• Eto Podiatry Clinic
• Stanley G. Eto, D.P.M.
• Annalee Joell Evans

• Foot & Ankle Surgery Podiatrist in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Foot & Ankle Surgery Podiatrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.