ERIN KALLOCK MD
NPI 1053574335
Family Medicine in Tacoma, WA

Q: What is Erin Kallock's NPI number?

The NPI number for Erin Kallock is 1053574335. It was assigned to this individual provider in the NPPES registry on July 7, 2008.

Q: What is Erin Kallock's specialty?

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

Q: Is Erin Kallock enrolled in Medicare?

No. Erin Kallock has opted out of Medicare through November 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Erin Kallock was last updated on February 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2008Opted out of Medicare · through Nov 1, 2027

521 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 403-2900 Get Directions Write a Review

NPPES record last updated: February 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Erin Kallock Md NPPES

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

ERIN KALLOCK MD (NPI 1053574335) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (MD60024713) and active in the NPI registry since July 2008. She has opted out of Medicare through November 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1053574335

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameERIN KALLOCKCredential: MD

Location Address521 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4238

Mailing Address521 Martin Luther King Jr WayTacoma, WA 98405-4238 · (253) 403-2900

Phone(253) 403-2900

Sole ProprietorNo

Enumeration DateJuly 7, 2008

Last NPPES UpdateFebruary 27, 2012

✔ NPI 1053574335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · MD60024713

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.

521 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405

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Other Identifiers 3

Other0290202WA · L&i

Medicare PING8906371WA

Medicaid2002918WA

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Erin Kallock Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 1, 2021 through November 1, 2027.

Opt-Out Effective DateNovember 1, 2021

Opt-Out In Effect ThroughNovember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98405 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

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

1 supplier12 claims12 services$64.85 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$30.95 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JAMES LIN MD

Obstetrics & Gynecology