DR. ERIC EVAN PETTERSON MD
NPI 1245269547
Internal Medicine - Addiction Medicine in Mahanoy City, PA

Active since July 01, 2006PECOS EnrolledAccepts Medicare Assignment
411 W PINE ST, MAHANOY CITY, PA 17948(570) 773-1101(570) 773-1103 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 11, 2023, Aug 16, 2021, Jan 12, 2017 and 3 more (6 updates tracked since 2016).

About Dr. Eric Evan Petterson Md NPPES

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

DR. ERIC EVAN PETTERSON MD (NPI 1245269547) is an individual addiction medicine provider in Mahanoy City, Pennsylvania, licensed in Pennsylvania (MD039636L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1245269547
Entity TypeIndividualMale
Primary Taxonomy207RA0401X
Provider Legal NameDR. ERIC EVAN PETTERSONCredential: MD
Location Address411 W PINE STMahanoy City, PA 17948-2515
Mailing Address411 W Pine StMahanoy City, PA 17948-2515 · (570) 462-1040 · Fax (570) 462-1042
Fax(570) 773-1103
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJuly 1, 2006
Last NPPES UpdateOctober 17, 20256 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
NPI 1245269547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License Licensed in PA · MD039636L
Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD039636L (PA)
411 W PINE ST, Mahanoy City, PA 17948

Other Identifiers 1

Medicaid0010036980010PA

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

Dr. Eric Evan Petterson 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 ID749229532
PECOS Enrollment IDI20050503000144
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

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.

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.
152 services24 patients

Hospital Affiliations CMS Care Compare

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17948 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Extra heavy duty wheelchair K0007
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$80.19 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$9.30 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 2

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

Internal Medicine (Addiction Medicine)
411 W PINE ST
MAHANOY CITY, PA 17948
Counselor (Addiction (Substance Use Disorder))
411 W PINE ST
MAHANOY CITY, PA 17948

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 Petterson's NPI number?

The NPI number for Eric Petterson is 1245269547. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Where is Eric Petterson located?

Eric Petterson practices at 411 W Pine St, Mahanoy City, PA 17948. The listed phone number is (570) 773-1101.

What is Eric Petterson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Eric Petterson enrolled in Medicare?

Yes. Eric Petterson 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 Eric Petterson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Eric Petterson 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 Eric Petterson affiliated with any hospitals?

According to CMS data, Eric Petterson is affiliated with Geisinger Medical Center.

When was this NPI record last updated?

The NPPES record for Eric Petterson was last updated on October 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.