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DR. RICHARD E. ERICKSON M.D.
NPI 1023019643
Orthopaedic Surgery in Carol Stream, IL

Active since August 04, 2005PECOS Enrolled
91.35/100
CMS Quality Rating
327 GUNDERSEN DR, SUITE A, CAROL STREAM, IL 60188(630) 665-9155(630) 665-5557 Get Directions Write a Review

NPPES record last updated: March 1, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Richard E. Erickson M.d. NPPES

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

DR. RICHARD E. ERICKSON M.D. (NPI 1023019643) is an individual orthopaedic surgery provider in Carol Stream, Illinois, licensed in Illinois (036075093) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023019643
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. RICHARD E. ERICKSONCredential: M.D.
Location Address327 GUNDERSEN DR, SUITE ACarol Stream, IL 60188-2402
Mailing Address327 Gundersen Dr, Suite ACarol Stream, IL 60188-2402 · (630) 665-9155 · Fax (630) 665-5557
Phone(630) 665-9155
Fax(630) 665-5557
Sole ProprietorNo
Enumeration DateAugust 4, 2005
Last NPPES UpdateMarch 1, 2010
✔ NPI 1023019643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in IL · 036075093
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
327 GUNDERSEN DR, Carol Stream, IL 60188
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINE43667IL
Medicare ID-Type Unspecified920370IL · Wol Medicare Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Richard E. Erickson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Richard Erickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward Health Ventures
4.4 mi
Clinic/Center
30 DANADA SQ W
Wheaton, IL 60189
  • Reassigned Medicare billing, Illinois enrollment
  • 561 clinicians in this Medicare group
NPI 1376078774 (630) 527-3645

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60188 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
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.

91.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.71
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

WHEATON ORTHOPAEDICS, LTD.
Registered Nurse
327 GUNDERSEN DR, SUITE A
CAROL STREAM, IL 60188
Dupage County (630) 665-9155
ATHLETIC AND THERAPEUTIC INSTITUTE OF NAPERVILLE LLC
Physical Therapist
327 GUNDERSEN DR, SUITE C
CAROL STREAM, IL 60188
Dupage County (630) 784-3251
WHEATON INTERNAL MEDICINE, LTD.
Internal Medicine
327 GUNDERSEN DR, SUITE A
CAROL STREAM, IL 60188
Dupage County (630) 681-0640
ADVENTIST HEALTH PARTNERS, INC
Family Medicine
327 GUNDERSEN DR, SUITE C
CAROL STREAM, IL 60188
Dupage County (630) 462-7957
WHEATON ORTHOPAEDICS, LTD.
Specialist
327 GUNDERSEN DR, STE A
CAROL STREAM, IL 60188
Dupage County (630) 665-9155
SARAH N. BURGE P.T.
Physical Therapist
327 GUNDERSEN DR, SUITE A
CAROL STREAM, IL 60188
Dupage County (630) 665-9155
DR. STEPHEN A. BAKER M.D.
Orthopaedic Surgery
327 GUNDERSEN DR, SUITE A
CAROL STREAM, IL 60188
Dupage County (630) 665-9155
CAROLYN R VARGOS R.N.
Registered Nurse
327 GUNDERSEN DR
CAROL STREAM, IL 60188
Dupage County (630) 665-9155

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 Richard Erickson's NPI number?

The NPI number for Richard Erickson is 1023019643. It was assigned to this individual provider in the NPPES registry on August 4, 2005.

Where is Richard Erickson located?

Richard Erickson practices at 327 Gundersen Dr Suite A, Carol Stream, IL 60188. The listed phone number is (630) 665-9155.

What is Richard Erickson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Richard Erickson enrolled in Medicare?

Yes. Richard Erickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Richard Erickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Erickson reassigns Medicare benefits to Edward Health Ventures (Wheaton, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Erickson accept?

Health plans from Oscar Health list Richard Erickson 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.

When was this NPI record last updated?

The NPPES record for Richard Erickson was last updated on March 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.