ERICA LEIGH COULTER M.D.
NPI 1164642450
Family Medicine in Lancaster, PA

Q: What is Erica Coulter's NPI number?

The NPI number for Erica Coulter is 1164642450. It was assigned to this individual provider in the NPPES registry on April 27, 2007.

Q: What is Erica Coulter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Erica Coulter was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 27, 2007PECOS EnrolledAccepts Medicare Assignment

625 S DUKE ST, LANCASTER, PA 17602(717) 299-6371(717) 945-1587 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Erica Leigh Coulter M.d. NPPES

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

ERICA LEIGH COULTER M.D. (NPI 1164642450) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD433631) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Kansas Medical College (2005).

NPPES Registry Identity

NPI1164642450

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameERICA LEIGH COULTERCredential: M.D.

Location Address625 S DUKE STLancaster, PA 17602-4509

Mailing Address304 N Water StLancaster, PA 17603-3374 · (717) 299-6371 · Fax (717) 945-1587

Phone(717) 299-6371

Fax(717) 945-1587

Sole ProprietorNo

Medical School CMSKansas Medical CollegeGraduated 2005

Enumeration DateApril 27, 2007

Last NPPES UpdateApril 2, 2018

✔ NPI 1164642450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD433631

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

625 S DUKE ST, Lancaster, PA 17602

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Erica Leigh Coulter M.d. 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 ID749349546

PECOS Enrollment IDI20081108000024

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.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

Reported Quality Measures

Breast Cancer Screening

Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer

71%319 patients4/55-star benchmark: 92%

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

66%519 patients4/55-star benchmark: 85%

Diabetes: Eye Exam

Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

37%275 patients2/55-star benchmark: 100%

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.

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.

REBECCA AMY NEHRING CRNP

Nurse Practitioner (Family)