Active NPI
Eric C Lundgren, MD
- Surgery Physician
- Du Bois, PA
National Provider Identifier
1992791206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD041884E
- Practice address
- 605 S Main St
Du Bois, PA 15801-1479 - Phone
- (814) 371-8569
- Fax
- (814) 371-8603
- NPI assigned
- Sep 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD041884E | PA | Primary |
Addresses
Primary practice location
605 S Main St
Du Bois, PA 15801-1479
Mailing address
605 S Main St
Du Bois, PA 15801-1479
Phone (814) 371-8569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012492680003 | Medicaid | PA | |
| 020051707 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110324000886 | PA | Practitioner - General Surgery | 4789867946 | Practice locations: Dubois, PA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Jefferson Medical College of Thomas Jefferson University, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
605 S Main St
Dubois, PA 15801-1479
Phone (814) 371-8569
Hospital & facility affiliations
- Penn Highlands Dubois
- Penn Highlands Elk
- Penn Highlands Huntingdon
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 88 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 72 |
| Mastectomy | 22 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Medical Center | Surgery | Past | Accepting new patients |
Interoperability endpoints
- elundgren@ericl.curemd.direct-ci.com
Organizations & group practices 1
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 41
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Maternal & Fetal Medicine Physician
- Du Bois, PA
- NPI 1033213608
Hospital
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- Endocrinology, Diabetes & Metabolism Physician
- Du Bois, PA
- NPI 1245341387
Hospital
-
- General Acute Care Hospital
- Clearfield, PA
- NPI 1316537228
-
- Cardiovascular Disease Physician
- Punxsutawney, PA
- NPI 1407941305
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419206400000",
"number": "1992791206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S MAIN ST",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011479",
"telephone_number": "814-371-8569",
"fax_number": "814-371-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 S MAIN ST",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011479",
"telephone_number": "814-371-8569",
"fax_number": "814-371-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDGREN",
"first_name": "ERIC",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2014-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD041884E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012492680003",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020051707",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.