CRAIG W EREKSON MD
NPI 1093737942
Orthopaedic Surgery in Elkhart, IN

Active since July 23, 2006PECOS EnrolledAccepts Medicare Assignment
78.32/100
CMS Quality Rating
2310 CALIFORNIA ROAD, ELKHART, IN 46514(574) 264-4163(574) 262-9650 Get Directions Write a Review

NPPES record last updated: February 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Craig W Erekson Md NPPES

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

CRAIG W EREKSON MD (NPI 1093737942) is an individual orthopaedic surgery provider in Elkhart, Indiana, licensed in Indiana (01041565A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University School Of Medicine (1992).

NPPES Registry Identity

NPI1093737942
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameCRAIG W EREKSONCredential: MD
Location Address2310 CALIFORNIA ROADElkhart, IN 46514-1228
Mailing Address2310 California RoadElkhart, IN 46514-1228 · (574) 264-4163 · Fax (574) 262-9650
Fax(574) 262-9650
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1992
Enumeration DateJuly 23, 2006
Last NPPES UpdateFebruary 2, 2010
NPI 1093737942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in IN · 01041565A
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.

2310 CALIFORNIA ROAD, Elkhart, IN 46514

Other Identifiers 3

Medicare UPINF70397
Medicare ID-Type Unspecified223420JIN
Medicaid100373070AIN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Craig W Erekson 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 ID2163534231
PECOS Enrollment IDI20101201000103
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.

Areas of Expertise CMS Part B claims 16

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
796 services144 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
207 services155 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.
189 services160 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.
146 services119 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
104 services12 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
96 services93 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

78.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.05
Promoting Interoperability90
Improvement Activities40
Cost78.03

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.

Referred Medical Equipment & Supplies CMS DME claims

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$67.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 19

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

Family Medicine (Sports Medicine)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Orthopaedic Surgery (Hand Surgery)
2310 CALIFORNIA ROAD, SUITE A
ELKHART, IN 46514
Occupational Therapist
2310 CALIFORNIA ROAD, SUITE A
ELKHART, IN 46514
Anesthesiology (Pain Medicine)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Specialist/Technologist (Athletic Trainer)
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Orthopaedic Surgery
2310 CALIFORNIA ROAD
ELKHART, IN 46514
Physical Therapist
2310 CALIFORNIA ROAD, SUITE A
ELKHART, IN 46514
Anesthesiology (Pain Medicine)
2310 CALIFORNIA ROAD
ELKHART, IN 46514

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 Craig Erekson's NPI number?

The NPI number for Craig Erekson is 1093737942. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Craig Erekson located?

Craig Erekson practices at 2310 California Road, Elkhart, IN 46514. The listed phone number is (574) 264-4163.

What is Craig Erekson's specialty?

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

Is Craig Erekson enrolled in Medicare?

Yes. Craig Erekson 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.

What insurance does Craig Erekson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Craig Erekson 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 Craig Erekson was last updated on February 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.