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ERIK CAMPBELL MD
NPI 1215461678
Internal Medicine - Critical Care Medicine in Sacramento, CA

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
96.5/100
CMS Quality Rating
3939 J ST STE 230, SACRAMENTO, CA 95819(916) 453-2640(916) 452-1077 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 2, 2024, Oct 11, 2022, Jun 6, 2020 and 2 more (5 updates tracked since 2017).

About Erik Campbell Md NPPES

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

ERIK CAMPBELL MD (NPI 1215461678) is an individual critical care medicine provider in Sacramento, California, licensed in California (A177971) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of East Tennessee State University Quillen College Of Medicine (2017).

NPPES Registry Identity

NPI1215461678
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameERIK CAMPBELLCredential: MD
Location Address3939 J ST STE 230Sacramento, CA 95819-3640
Mailing Address3400 Data DrRancho Cordova, CA 95670-7956
Phone(916) 453-2640
Fax(916) 452-1077
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateJuly 2, 20245 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
✔ NPI 1215461678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in CA · A177971
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
3939 J ST STE 230, Sacramento, CA 95819
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and more.Insurance ›

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

Erik Campbell 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 ID4183058258
PECOS Enrollment IDI20240516002209
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 Reassignments

6

Medicare enrollment records show Erik Campbell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Veeone Medical Group PA
17 mi
Critical Care Medicine
1420 ROCKY RIDGE DR STE 300
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1265156558 (916) 865-4668
Middle Tennessee Emergency Physicians PC
1,903 mi
Emergency Medicine
2000 CHURCH STREET, EMERGENCY DEPT
Nashville, TN 37236
  • Reassigned Medicare billing, Tennessee enrollment
  • Medicare enrollment name: Middle Tennessee Emergency Physicians, P.C.
  • 225 clinicians in this Medicare group
NPI 1194758979 (615) 284-5555
Floyd Healthcare Management Inc
2,031 mi
General Acute Care Hospital
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Floyd Physicians LLC
  • 185 clinicians in this Medicare group
NPI 1154377166 (706) 509-5000
The Charlotte-Mecklenburg Hospital Authority
2,203 mi
General Practice
201 E GROVER ST
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,534 clinicians in this Medicare group
NPI 1225435126 (980) 487-7427
Carolinas Medical Center
2,240 mi
Psychiatry
16740 DAVIDSON CONCORD RD, STE 200
Davidson, NC 28036
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1629412184 (704) 801-9200
Scotland Regional Health Network
2,311 mi
Surgery
224 W MAIN ST
Hamlet, NC 28345
  • Reassigned Medicare billing, North Carolina enrollment
  • 248 clinicians in this Medicare group
NPI 1285907519 (910) 277-9164

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

Areas of Expertise CMS Part B claims 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
344 services96 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
156 services71 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
38 services14 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95819 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
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

96.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.34
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

MUNIR S. JANMOHAMED MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3939 J ST STE 230
SACRAMENTO, CA 95819
Sacramento County (916) 736-2323
DR. CULLEN THOMAS SOARES MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
3939 J ST STE 230
SACRAMENTO, CA 95819
Sacramento County (916) 453-2640
TIN TRONG NGUYEN M.D.
Internal Medicine (Cardiovascular Disease)
3939 J ST STE 230
SACRAMENTO, CA 95819
Sacramento County (916) 453-2640
DR. ROSHNI VIJAY KHATIWALA MD
Internal Medicine (Cardiovascular Disease)
3939 J ST STE 230
SACRAMENTO, CA 95819
Sacramento County (916) 453-2640

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 Erik Campbell's NPI number?

The NPI number for Erik Campbell is 1215461678. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Erik Campbell located?

Erik Campbell practices at 3939 J St Ste 230, Sacramento, CA 95819. The listed phone number is (916) 453-2640.

What is Erik Campbell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Erik Campbell enrolled in Medicare?

Yes. Erik Campbell 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 organizations bill Medicare for Erik Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Campbell reassigns Medicare benefits to 6 organizations: Veeone Medical Group PA (Roseville, CA), Middle Tennessee Emergency Physicians PC (Nashville, TN), Floyd Healthcare Management Inc (Rome, GA), The Charlotte-Mecklenburg Hospital Authority (Shelby, NC), Carolinas Medical Center (Davidson, NC) and 1 more organization, listed in the Medicare section above. Each 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 Erik Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Campbell accept?

Health plans from Oscar Health, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company list Erik Campbell 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.

Is Erik Campbell affiliated with any hospitals?

According to CMS data, Erik Campbell is affiliated with Carolinas Medical Center-Northeast and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Erik Campbell was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.