ERIC WILLIAM SVESTKA M.D.
NPI 1013203280
Family Medicine in Decorah, IA

Active since June 25, 2011PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
901 MONTGOMERY ST, DECORAH, IA 52101(563) 382-2911 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 25, 2021, May 12, 2020 (2 updates tracked since 2020).

About Eric William Svestka M.d. NPPES

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

ERIC WILLIAM SVESTKA M.D. (NPI 1013203280) is an individual family medicine provider in Decorah, Iowa, licensed in Iowa (MD-46149) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with Regional Health Services Of Howard County, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1013203280
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC WILLIAM SVESTKACredential: M.D.
Location Address901 MONTGOMERY STDecorah, IA 52101-2325
Mailing Address4881 Nw 8th Ave Ste 2Gainesville, FL 32605-4582 · (352) 547-2373 · Fax (352) 416-1813
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2011
Enumeration DateJune 25, 2011
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1013203280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in IA · MD-46149 Licensed in FL · ME 114336
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.
901 MONTGOMERY ST, Decorah, IA 52101

Secondary Practice Location 1

Location 14343 W Newberry Rd, Ste 12Gainesville, FL 32607-2817 · Phone (352) 376-2608 · Fax (352) 376-0455

Accepted 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 William Svestka M.d. 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 ID7911152954
PECOS Enrollment IDI20200331000655, I20220401001847
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

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Regional Health Services Of Howard County

Critical Access Hospitals · Cresco, IA
OwnershipGovernment - Local
CMS Certification Number161328
Location235 8th Avenue WestCresco, IA 52136 · Howard County
Emergency services Birthing friendly

Mercy Medical Center-New Hampton

Critical Access Hospitals · New Hampton, IA
OwnershipVoluntary non-profit - Church
CMS Certification Number161331
Location308 North Maple AvenueNew Hampton, IA 50659 · Chickasaw County
Emergency services

Winnmed

Critical Access Hospitals · Decorah, IA
OwnershipGovernment - Local
CMS Certification Number161371
Location901 Montgomery StreetDecorah, IA 52101 · Winneshiek County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52101 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers23 claims36 services$6.03 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$18.66 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier20 claims20 services$50.15 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers15 claims15 services$105.63 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$35.00 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$215.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Obstetrics & Gynecology
901 MONTGOMERY ST
DECORAH, IA 52101
Registered Nurse (Diabetes Educator)
901 MONTGOMERY ST
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST, REHABILITATION SERVICES
DECORAH, IA 52101
Specialist/Technologist (Athletic Trainer)
901 MONTGOMERY ST
DECORAH, IA 52101
Audiologist-Hearing Aid Fitter
901 MONTGOMERY ST
DECORAH, IA 52101
Nurse Anesthetist, Certified Registered
901 MONTGOMERY ST
DECORAH, IA 52101
Registered Nurse (Emergency)
901 MONTGOMERY ST
DECORAH, IA 52101
Family Medicine
901 MONTGOMERY ST
DECORAH, IA 52101

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 Svestka's NPI number?

The NPI number for Eric Svestka is 1013203280. It was assigned to this individual provider in the NPPES registry on June 25, 2011.

Where is Eric Svestka located?

Eric Svestka practices at 901 Montgomery St, Decorah, IA 52101. The listed phone number is (563) 382-2911.

What is Eric Svestka's specialty?

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

Is Eric Svestka enrolled in Medicare?

Yes. Eric Svestka 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 Svestka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Eric Svestka 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 Svestka affiliated with any hospitals?

According to CMS data, Eric Svestka is affiliated with Regional Health Services Of Howard County, Mercy Medical Center-New Hampton and Winnmed.

When was this NPI record last updated?

The NPPES record for Eric Svestka was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.