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ERIC MICHAEL JORGENSEN MD
NPI 1093371429
Allergy & Immunology in Ithaca, NY

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
904 E SHORE DR, ITHACA, NY 14850(607) 257-6563 Get Directions Write a Review

NPPES record last updated: June 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 21, 2025, Jul 10, 2023, May 10, 2019 (3 updates tracked since 2019).

About Eric Michael Jorgensen Md NPPES

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

ERIC MICHAEL JORGENSEN MD (NPI 1093371429) is an individual allergy & immunology provider in Ithaca, New York, licensed in New York (311096) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2019).

NPPES Registry Identity

NPI1093371429
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameERIC MICHAEL JORGENSENCredential: MD
Location Address904 E SHORE DRIthaca, NY 14850-1026
Mailing Address904 E Shore DrIthaca, NY 14850-1026 · (607) 257-6563
Phone(607) 257-6563
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2019
Enumeration DateMay 10, 2019
Last NPPES UpdateJune 21, 20253 updates tracked since enumeration
NPPES CertifiedJune 21, 2025
✔ NPI 1093371429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in NY · 311096
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
904 E SHORE DR, Ithaca, NY 14850
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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

Eric Michael Jorgensen 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 ID4880925981
PECOS Enrollment IDI20250630000362
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 Eric Jorgensen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Asthma & Allergy Associates P.C.
Same address
Allergy
904 E SHORE DR
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Asthma & Allergy Associates PC
  • 10 clinicians in this Medicare group
NPI 1063503191 (607) 257-6563

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

Other Providers at the Same Location NPPES 7

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

ASTHMA & ALLERGY ASSOCIATES P.C.
Allergy & Immunology (Allergy)
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (607) 257-6563
DR. MARIAH MAGARGEE PIERETTI M.D.
Allergy & Immunology
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (917) 669-4198
SARAH L. MATERA PA
Physician Assistant
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (607) 257-6563
DR. RIZWAN KHAN M.D.
Allergy & Immunology
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (607) 257-6563
SHION DONAHUE PA-C
Physician Assistant (Medical)
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (607) 257-6563
JUSTIN WEILERT NP
Nurse Practitioner (Family)
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (607) 257-6563
JULIE DK MCNAIRN MD
Allergy & Immunology (Allergy)
904 E SHORE DR
ITHACA, NY 14850
Tompkins County (607) 257-6563

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 Jorgensen's NPI number?

The NPI number for Eric Jorgensen is 1093371429. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Eric Jorgensen located?

Eric Jorgensen practices at 904 E Shore Dr, Ithaca, NY 14850. The listed phone number is (607) 257-6563.

What is Eric Jorgensen's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Eric Jorgensen enrolled in Medicare?

Yes. Eric Jorgensen 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 organization bills Medicare for Eric Jorgensen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Jorgensen reassigns Medicare benefits to Asthma & Allergy Associates P.C. (Ithaca, NY). 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 Eric Jorgensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Jorgensen was last updated on June 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.