1. Home
  2. Directory
  3. Indiana
  4. Mishawaka
  5. Family Medicine
  6. NPI Profile

KEVIN R ERICSON MD
NPI 1265458749
Family Medicine in Mishawaka, IN

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD, STE 407, MISHAWAKA, IN 46545(574) 335-6500(574) 335-0772 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin R Ericson Md NPPES

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

KEVIN R ERICSON MD (NPI 1265458749) is an individual family medicine provider in Mishawaka, Indiana, licensed in Indiana (01046492) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of University Of Wisconsin School Of Medicine (1986).

NPPES Registry Identity

NPI1265458749
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN R ERICSONCredential: MD
Location Address611 E DOUGLAS RD, STE 407Mishawaka, IN 46545-1464
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468 · (574) 335-6500 · Fax (574) 335-0772
Phone(574) 335-6500
Fax(574) 335-0772
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1986
Enumeration DateJuly 15, 2006
Last NPPES UpdateJanuary 13, 2026
NPPES CertifiedJanuary 13, 2026
✔ NPI 1265458749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01046492
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.
611 E DOUGLAS RD, Mishawaka, IN 46545
Open in Google Maps ↗

Other Identifiers 1

Other200142060AIN · Medicaid

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Kevin R Ericson 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 ID1759473374
PECOS Enrollment IDI20070827000634
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 8

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.
110 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
29 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services24 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers15 claims4,167 services$0.03 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 20

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

MRS. PAMELA R CHANEY RN CMEP
Registered Nurse (Plastic Surgery)
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 968-3510
MIDWEST EYE CONSULTANTS, P.C.
Ophthalmology (Retina Specialist)
611 E DOUGLAS RD, SUITE 102
MISHAWAKA, IN 46545
St. Joseph County (260) 569-9550
NICHOLAS JAMES BUTTERMORE
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIDWEST ORTHOTIC SERVICES LLC
Prosthetic/Orthotic Supplier
611 E DOUGLAS RD
MISHAWAKA, IN 46545
St. Joseph County (574) 204-2416
DAVID WYNCOTT MD
Family Medicine
611 E DOUGLAS RD, SUITE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIDWEST MEDICAL GROUP, LLC
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, SUITE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
DR. AJAZUDDIN Z. SHAIKH M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 232-5928
ZACHARY JOE MARANAR LESHEN M.D.
Internal Medicine (Interventional Cardiology)
611 E DOUGLAS RD, STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700

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 Kevin Ericson's NPI number?

The NPI number for Kevin Ericson is 1265458749. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Kevin Ericson located?

Kevin Ericson practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Kevin Ericson's specialty?

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

Is Kevin Ericson enrolled in Medicare?

Yes. Kevin Ericson 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 Kevin Ericson accept?

Health plans from CareSource list Kevin Ericson 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 Kevin Ericson affiliated with any hospitals?

According to CMS data, Kevin Ericson is affiliated with Saint Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Ericson was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.