Erich Gerald Eriksen, D.P.M.
Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Chillicothe, MO
NPI 1457516296 · NPPES record last updated Mar 14, 2014
Key facts
- NPI
- 1457516296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Foot & Ankle Surgery Podiatrist 213ES0103X
- License
- 2008033461 (MO)
- Practice address
- 2799 N Washington St
Chillicothe, MO 64601-2902 - Phone
- (660) 646-5522
- NPI assigned
- Jul 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Podiatry
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- General John J Pershing Memorial Hospital Association
Saint Luke'S Hospital of Trenton
Saint Lukes Hospital of Chillicothe
Practice addresses (Care Compare)
130 E Lockling St
Brookfield, MO 64628-2337
Phone (660) 258-1278
189 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750
191 Iowa Blvd
Trenton, MO 64683-8343
Phone (660) 358-5750
2791 N Washington St
Chillicothe, MO 64601-2902
Phone (816) 646-1480
2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-1480
Hospital & facility affiliations
- Hedrick Medical Center
- Pershing Memorial Hospital
- Wright Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.69 of 100
- Quality
- 88.35
- Promoting interoperability
- 97
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.53 of 100
- Quality
- 83.61
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090209000156 | MO | Practitioner - Podiatry | 3678638624 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000808 | IA | MD | Foot & Ankle Surgery Podiatrist |
| 2008033461 | MO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Luke'S Hospital of Trenton | Current | Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| Saint Luke'S Hospital of Trenton | Current |
Accepting new patients | |
| General John J Pershing Memorial Hospital Association | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current |
Accepting new patients | |
| Saint Lukes Hospital of Chillicothe | Current | Accepting new patients | |
| Senior Healthservices Inc | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
130 E Lockling St
Brookfield, MO 64628
Phone (660) 258-1050
2799 N Washington St
Chillicothe, MO 64601
Phone (660) 214-8300
191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700
189 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5750
Interoperability endpoints
- eeriksen4531@direct.saint-lukes.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 000808 | IA | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 2008033461 | MO | Yes |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 12-00385 | KS |
Addresses
Primary practice location
2799 N Washington St
Chillicothe, MO 64601-2902
Mailing address
2799 N Washington St
Chillicothe, MO 64601-2902
Phone (660) 646-5522
Other providers in Chillicothe, MO
- Bryan Douglas Doyle
- Dva Renal Healthcare Inc
- Cynthia E Eivins
- Eldercare of Mid-Missouri IX, Inc.
- EMS of Chillicothe LLC
- Family Health Center, Inc.
- Rachell Fordyce
- Forsight Eyecare LLC
- Shana Renae French
- Jordan Ann Fries
All providers in Chillicothe, MO · Foot & Ankle Surgery Podiatrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.