DR. ERIC DANIEL WIRTZ M.D.
NPI 1073717864
Otolaryngology in Fort Sam Houston, TX

Active since June 13, 2007PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 539-9582 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 21, 2025, Sep 9, 2021 (2 updates tracked since 2021).

About Dr. Eric Daniel Wirtz M.d. NPPES

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

DR. ERIC DANIEL WIRTZ M.D. (NPI 1073717864) is an individual otolaryngology provider in Fort Sam Houston, Texas, licensed in Hawaii (MD-14939) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jbsa Lackland.

NPPES Registry Identity

NPI1073717864
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ERIC DANIEL WIRTZCredential: M.D.
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 539-9582
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateMarch 21, 20252 updates tracked since enumeration
NPPES CertifiedMarch 21, 2025
✔ NPI 1073717864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in HI · MD-14939
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234

Secondary Practice Location 1

Location 11100 Wilford Hall Loop Bldg 4554Jbsa Lackland, TX 78236-5638 · Phone (210) 539-9582

Accepted 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. Eric Daniel Wirtz 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 Reassignments

2

Medicare enrollment records show Eric Wirtz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
201 E GROVER ST
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
Internal Medicine
10502 PARK RD, STE 110
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group

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 78234 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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.

Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234

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 Wirtz's NPI number?

The NPI number for Eric Wirtz is 1073717864. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Eric Wirtz located?

Eric Wirtz practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.

What is Eric Wirtz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Eric Wirtz enrolled in Medicare?

Yes. Eric Wirtz is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Wirtz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Wirtz reassigns Medicare benefits to 2 organizations: The Charlotte-Mecklenburg Hospital Authority (Shelby, NC) and Carolinas Medical Center (Charlotte, NC). Each 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 Eric Wirtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Eric Wirtz accept?

Health plans from Blue Cross and Blue Shield of NC list Eric Wirtz 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 Eric Wirtz was last updated on March 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.