DR. ERIC WALTER WIDERA M.D.
NPI 1124134309
Internal Medicine - Geriatric Medicine in San Francisco, CA

Active since August 21, 2006PECOS Enrolled
4150 CLEMENT ST # 181NH, SAN FRANCISCO, CA 94121(415) 221-4810 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Eric Walter Widera M.d. NPPES

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

DR. ERIC WALTER WIDERA M.D. (NPI 1124134309) is an individual geriatric medicine provider in San Francisco, California, licensed in California (A 92319) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124134309
Entity TypeIndividualMale
Primary Taxonomy207RG0300X
Provider Legal NameDR. ERIC WALTER WIDERACredential: M.D.
Location Address4150 CLEMENT ST # 181NHSan Francisco, CA 94121-1545
Mailing Address90 Parker Ave Apt 205San Francisco, CA 94118-2657 · (415) 221-4810
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1124134309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in CA · A 92319
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
4150 CLEMENT ST # 181NH, San Francisco, CA 94121

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Eric Walter Widera 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94121 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Widera's NPI number?

The NPI number for Eric Widera is 1124134309. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Eric Widera located?

Eric Widera practices at 4150 Clement St # 181nh, San Francisco, CA 94121. The listed phone number is (415) 221-4810.

What is Eric Widera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Eric Widera enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Eric Widera was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.