ERIC CONNOR DAUBACH
NPI 1114667359
Emergency Medicine in Winston Salem, NC

Q: What is Eric Daubach's NPI number?

The NPI number for Eric Daubach is 1114667359. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Eric Daubach's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Eric Daubach was last updated on January 6, 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.

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-4625(336) 716-5438 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eric Connor Daubach NPPES

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

ERIC CONNOR DAUBACH (NPI 1114667359) is an individual emergency medicine provider in Winston Salem, North Carolina, licensed in North Carolina (2024-00503) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Medstar Montgomery Medical Center, and is a graduate of University Of Nebraska College Of Medicine (2022).

NPPES Registry Identity

NPI1114667359

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameERIC CONNOR DAUBACH

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001

Mailing Address100 Kimel Forest DrWinston Salem, NC 27103-6074

Phone(336) 716-4625

Fax(336) 716-5438

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateJanuary 6, 2025

NPPES CertifiedJanuary 6, 2025

✔ NPI 1114667359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in NC · 2024-00503

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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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

Eric Connor Daubach 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 ID1658751656

PECOS Enrollment IDI20250706000059

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.

Hospital Affiliations CMS Care Compare

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

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210018

Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

CRAIG MICHAEL COMBS MD

Anesthesiology