NPIMap

Individual provider Active NPI

Eric Michael Pridgen, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lehighton, PA
National Provider Identifier
1174051254
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD481958 Issued in PA
Practice address
575 S 9TH St Ste 5
Lehighton, PA 18235-2517
Phone
(484) 526-1735
NPI assigned
Jun 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD481958 PA Primary
Orthopaedic Surgery Physician 207X00000X MD481958 PA

Addresses

Primary practice location

575 S 9TH St Ste 5
Lehighton, PA 18235-2517

Mailing address

575 S 9TH St Ste 5
Lehighton, PA 18235-2517
Phone (484) 526-1735

Other practice location 1

217 Franklin Ave Ste 103
Palmerton, PA 18071-1521
Phone (484) 526-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231010000092 PA Practitioner - Orthopedic Surgery 4486036548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gslpg, IncGroup PAC ID 7810226875, 269 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

100 Paramount Blvd
Orwigsburg, PA 17961-2202
Phone (484) 526-2440

217 Franklin Ave
Palmerton, PA 18071-1521
Phone (484) 526-7246

360 W Riddle St
Coaldale, PA 18218-1027

500 St Lukes Dr
Lehighton, PA 18235-5000
Phone (484) 526-2200

575 S 9TH St
Lehighton, PA 18235-2517

701 Ostrum St
Fountain Hill, PA 18015-1153

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD481958PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Sep 18, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Sep 18, 2023 Accepting new patients
Gslpg, Inc CurrentSince Oct 1, 2023 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

701 Ostrum St
Ste 602
Fountain Hill, PA 18015
Phone (610) 807-9400

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

575 S 9th St
Ste 5
Lehighton, PA 18235

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

217 Franklin Ave
Ste 103
Palmerton, PA 18071

Interoperability endpoints

  • Direct secure messaging: eric.pridgen@slpg.direct-sluhn.org

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1174051254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST STE 5",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "484-526-1735",
            "fax_number": "833-550-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 S 9TH ST STE 5",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182352517",
            "telephone_number": "484-526-1735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 Franklin Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Palmerton",
            "state": "PA",
            "postal_code": "180711521",
            "country_code": "US",
            "telephone_number": "484-526-1735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRIDGEN",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PA",
            "license": "MD481958",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD481958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lehighton, PA

Sources for this page

Verify at the official NPI Registry.