Garrett M. Eckerling, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A61177 Issued in CA

Practice address

111 Bank St Ste 256
Grass Valley, CA 95945-6518

Phone

(530) 277-5207

Fax

(530) 432-3130

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

88.53 of 100Reported as group

Quality

87.08

Promoting interoperability

100

Improvement activities

40

Cost

69.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Pacific Wound Institute Corporation

  • Wound Care Registered Nurse
  • Vallejo, CA
  • NPI 1841181344
  Medicare reassignment NPD Authorized official
• Vohra Wound Physicians of Ca, P.C.

  • Family Medicine Physician
  • Dinuba, CA
  • NPI 1841599339
  Medicare reassignment NPD
• Evolution Physical Therapy & Wellness

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1568053742
  NPD (past)
• Evolution Physical Therapy & Wellness LLC

  dba Evolution Physical Therapy and Wellness

  • Physical Therapist
  • Grass Valley, CA
  • NPI 1578022869
  NPD (past)
• Sierra Nevada Memorial-Miners Hospital

  dba Sierra Nevada Memorial Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1215937388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BANK ST STE 256",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456518",
            "telephone_number": "530-277-5207",
            "fax_number": "530-432-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BANK ST STE 256",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959456518",
            "telephone_number": "530-277-5207",
            "fax_number": "530-432-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKERLING",
        "first_name": "GARRETT",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL CLIA #",
            "identifier": "05D0947254",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN #",
            "identifier": "00A611770",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215937388",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayden Joseph Earley
• Laura L Eastridge
• Nicole Ebrahimi-Nuyken, MFT
• Samuel Sebastian Echeverria
• Matthew M. Eck
• Rachelle A Eckhardt
• Edelweiss Holdings, LLC (Crystal Ridge Care Center)
• Amy Edgett
• Amanda Edwards
• Kara Eggert

• Family Medicine Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.