THEODORE GARY ECKMAN M.D.
NPI 1255691820
Pain Medicine - Pain Medicine in Erie, PA
About Theodore Gary Eckman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE GARY ECKMAN M.D. (NPI 1255691820) is an individual pain medicine provider in Erie, Pennsylvania, licensed in Ohio (35.128412) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Ashtabula County Medical Center, and is a graduate of Georgetown University School Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Theodore Gary Eckman 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.
Medicare Billing Reassignment
Medicare enrollment records show Theodore Eckman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ashtabula, OH 44004
- Reassigned Medicare billing, Ohio enrollment
- 177 clinicians in this Medicare group
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 18
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ashtabula County Medical Center
Acute Care Hospitals · Ashtabula, OHCleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Theodore Eckman's NPI number?
The NPI number for Theodore Eckman is 1255691820. It was assigned to this individual provider in the NPPES registry on May 17, 2012.
Where is Theodore Eckman located?
Theodore Eckman practices at 1910 Sassafras St Ste 300, Erie, PA 16502. The listed phone number is (814) 452-7246.
What is Theodore Eckman's specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is Theodore Eckman enrolled in Medicare?
Yes. Theodore Eckman 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 organization bills Medicare for Theodore Eckman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Eckman reassigns Medicare benefits to Ashtabula County Medical Center (Ashtabula, OH). The 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 Theodore Eckman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Eckman accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Molina Healthcare and Oscar Insurance Corporation of Ohio list Theodore Eckman 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 Theodore Eckman affiliated with any hospitals?
According to CMS data, Theodore Eckman is affiliated with Ashtabula County Medical Center and Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Theodore Eckman was last updated on June 3, 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.