ERIC A SMILTNEEK MD
NPI 1013098821
Family Medicine in Oshkosh, WI

Q: What is Eric Smiltneek's NPI number?

The NPI number for Eric Smiltneek is 1013098821. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Eric Smiltneek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Smiltneek was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment

414 DOCTORS CT, OSHKOSH, WI 54901(920) 303-5100 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2026, Nov 23, 2021, Feb 1, 2019 (3 updates tracked since 2019).

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About Eric A Smiltneek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIC A SMILTNEEK MD (NPI 1013098821) is an individual family medicine provider in Oshkosh, Wisconsin, licensed in Wisconsin (51152) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of University Of Wisconsin School Of Medicine (2006).

NPPES Registry Identity

NPI1013098821

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameERIC A SMILTNEEKCredential: MD

Location Address414 DOCTORS CTOshkosh, WI 54901-2065

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 303-5100

Sole ProprietorNo

Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2006

Enumeration DateOctober 18, 2006

Last NPPES UpdateMarch 3, 20263 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1013098821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 51152

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 51152 (WI)

Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X · License 51152 (WI)

414 DOCTORS CT, Oshkosh, WI 54901

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Other Identifiers 1

Medicaid35307200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eric A Smiltneek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971679408

PECOS Enrollment IDI20080908000408

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

142 services49 patients

Acupuncture, each additional 15 minutes 97811

Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.

135 services18 patients

Acupuncture, initial 15 minutes 97810

Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.

134 services18 patients

Testing for presence of drug, read by direct observation 80305

Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.

49 services15 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520198

Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JOYCE E ABBOTT APNP

Nurse Practitioner

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 303-5100

GARY ANKARLO PHD

Psychologist (Clinical)

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 456-2030

AURORA PHARMACY INC

Pharmacy

414 DOCTORS CT, SUITE 100
OSHKOSH, WI 54901

Winnebago County (920) 303-5006

DR. SHEILA M ANDERSON MD

Obstetrics & Gynecology

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 303-8700

GEORGE M LESSMANN DO

Family Medicine

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 303-8700

AURORA MEDICAL GROUP, INC.

Durable Medical Equipment & Medical Supplies

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 303-8700

MADISON D WILSON APSW, SAC-IT

Social Worker (Clinical)

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 303-8700

TYLER ROBERT BROWN PHD

Psychologist

414 DOCTORS CT
OSHKOSH, WI 54901

Winnebago County (920) 303-5100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Smiltneek's NPI number?

The NPI number for Eric Smiltneek is 1013098821. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Eric Smiltneek located?

Eric Smiltneek practices at 414 Doctors Ct, Oshkosh, WI 54901. The listed phone number is (920) 303-5100.

What is Eric Smiltneek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Smiltneek enrolled in Medicare?

Yes. Eric Smiltneek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Eric Smiltneek accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Eric Smiltneek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Smiltneek affiliated with any hospitals?

According to CMS data, Eric Smiltneek is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Eric Smiltneek was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.