DR. TY BOLTON ERICKSON MD
NPI 1083783823
Obstetrics & Gynecology in Idaho Falls, ID

Q: What is Ty Erickson's NPI number?

The NPI number for Ty Erickson is 1083783823. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Ty Erickson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Erickson was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

808 PANCHERI DRIVE, IDAHO FALLS, ID 83402(208) 552-6900(208) 552-4973 Get Directions Write a Review

NPPES record last updated: January 14, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Ty Bolton Erickson Md NPPES

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

DR. TY BOLTON ERICKSON MD (NPI 1083783823) is an individual obstetrics & gynecology provider in Idaho Falls, Idaho, licensed in Idaho (M6628) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of University Of Nevada School Of Medicine (1983).

NPPES Registry Identity

NPI1083783823

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. TY BOLTON ERICKSONCredential: MD

Location Address808 PANCHERI DRIVEIdaho Falls, ID 83402-3344

Mailing Address2184 Channing Way Pmb #135Idaho Falls, ID 83404-8034 · (208) 557-2900 · Fax (208) 557-2910

Phone(208) 552-6900

Fax(208) 552-4973

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1983

Enumeration DateNovember 7, 2006

Last NPPES UpdateJanuary 14, 2013

✔ NPI 1083783823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in ID · M6628✔ Licensed in ID · M-6628✔ Licensed in UT · 6388670-1205

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

808 PANCHERI DRIVE, Idaho Falls, ID 83402

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Other Identifiers 5

Medicare PIN1130793

Medicare UPINE87828ID

Medicare UPINE87828

Medicaid003678800ID

Medicare PIN1130793ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ty Bolton Erickson 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 ID840108130

PECOS Enrollment IDI20110615000317, I20160922002273

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

Medicare enrollment records show Ty Erickson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Women's Healthcare Associates, P.A.

3.2 mi

Obstetrics & Gynecology

2327 CORONADO ST
Idaho Falls, ID 83404

Reassigned Medicare billing, Idaho enrollment
15 clinicians in this Medicare group

NPI 1255400636 (208) 557-2900

William Bee Ririe Hospital

315 mi

Family

5043 TENABO AVENUE, WILLIAM BEE RIRIE HOSPITAL CRESCENT VALLEY CLINIC
Crescent Valley, NV 89821

Reassigned Medicare billing, Nevada enrollment
Also billed through NPI 1487648804 (Nevada)
84 clinicians in this Medicare group

NPI 1699284901 (775) 468-0250

Unlv Medicine

531 mi

Community/Behavioral Health

4000 E CHARLESTON BLVD STE 130
Las Vegas, NV 89104

Reassigned Medicare billing, Nevada enrollment
286 clinicians in this Medicare group

NPI 1851811525 (702) 968-4000

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

Areas of Expertise CMS Part B claims 7

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

21 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services19 patients

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.

18 services18 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

17 services17 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

15 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID

1/5 CMS rating

OwnershipPhysician

CMS Certification Number130065

Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County

Emergency services Birthing friendly

Idaho Falls Community Hospital, LLC

Acute Care Hospitals · Idaho Falls, ID

3/5 CMS rating

OwnershipProprietary

CMS Certification Number130074

Location2327 Coronado StIdaho Falls, ID 83404 · Bonneville County

Emergency services

William Bee Ririe Hospital

Critical Access Hospitals · Ely, NV

OwnershipGovernment - Hospital District or Authority

CMS Certification Number291302

Location1500 Avenue HEly, NV 89301 · White Pine County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83402 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$65.77 typical visit price

range $16.68 – $130.93

Typical copayment $16.44 (range $4.17 – $32.73)

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 2

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

BARBARA J NELSON MD

Obstetrics & Gynecology

808 PANCHERI DRIVE
IDAHO FALLS, ID 83402

Bonneville County (208) 552-6900

AMBER D MASSE NP

Nurse Practitioner (Family)

808 PANCHERI DRIVE
IDAHO FALLS, ID 83402

Bonneville County (208) 552-6900

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 Ty Erickson's NPI number?

The NPI number for Ty Erickson is 1083783823. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Ty Erickson located?

Ty Erickson practices at 808 Pancheri Drive, Idaho Falls, ID 83402. The listed phone number is (208) 552-6900.

What is Ty Erickson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Ty Erickson enrolled in Medicare?

Yes. Ty Erickson 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.

Which organizations bill Medicare for Ty Erickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ty Erickson reassigns Medicare benefits to 3 organizations: Women's Healthcare Associates, P.A. (Idaho Falls, ID), William Bee Ririe Hospital (Crescent Valley, NV) and Unlv Medicine (Las Vegas, NV). 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 Ty Erickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ty Erickson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Molina Healthcare, PacificSource Health Plans and Providence Health Plan and 2 other insurers list Ty 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.

Is Ty Erickson affiliated with any hospitals?

According to CMS data, Ty Erickson is affiliated with Mountain View Hospital, Idaho Falls Community Hospital, LLC and William Bee Ririe Hospital.

When was this NPI record last updated?

The NPPES record for Ty Erickson was last updated on January 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.