DR. MATTHEW CAMPBELL ERICKSEN D.O.
NPI 1285956797
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Bolivar, MO

Active since February 25, 2010PECOS EnrolledAccepts Medicare Assignment
1155 W PARKVIEW ST, SUITE 2J, BOLIVAR, MO 65613(417) 328-7000 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Apr 23, 2021 (2 updates tracked since 2021).

About Dr. Matthew Campbell Ericksen D.o. NPPES

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

DR. MATTHEW CAMPBELL ERICKSEN D.O. (NPI 1285956797) is an individual otolaryngology/facial plastic surgery provider in Bolivar, Missouri, licensed in Missouri (2012015105) and active in the NPI registry since February 2010. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2010).

NPPES Registry Identity

NPI1285956797
Entity TypeIndividualMale
Primary Taxonomy207YX0905X
Provider Legal NameDR. MATTHEW CAMPBELL ERICKSENCredential: D.O.
Location Address1155 W PARKVIEW ST, SUITE 2JBolivar, MO 65613-8279
Mailing Address1801 Se Hillmoor Dr Ste B-105Port St Lucie, FL 34952-7545 · (772) 398-9911
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2010
Enumeration DateFebruary 25, 2010
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
NPI 1285956797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
License Licensed in MO · 2012015105
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
1155 W PARKVIEW ST, Bolivar, MO 65613

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. Matthew Campbell Ericksen D.o. 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 ID42525727
PECOS Enrollment IDI20220512002140
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 24

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.

Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,325 services25 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
624 services25 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
430 services32 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.
308 services248 patients
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.
294 services227 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
190 services39 patients

Hospital Affiliations CMS Care Compare 3

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100044
Location200 SE Hospital AveStuart, FL 34994 · Martin County
Emergency services Birthing friendly

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Durable Medical Equipment & Medical Supplies
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Physician Assistant
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Specialist/Technologist (Athletic Trainer)
1155 W PARKVIEW ST
BOLIVAR, MO 65613
Orthopaedic Surgery
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Surgery
1155 W PARKVIEW ST, SUITE 1F
BOLIVAR, MO 65613
Nurse Practitioner (Family)
1155 W PARKVIEW ST
BOLIVAR, MO 65613
Nurse Practitioner
1155 W PARKVIEW ST
BOLIVAR, MO 65613

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 Matthew Ericksen's NPI number?

The NPI number for Matthew Ericksen is 1285956797. It was assigned to this individual provider in the NPPES registry on February 25, 2010.

Where is Matthew Ericksen located?

Matthew Ericksen practices at 1155 W Parkview St Suite 2J, Bolivar, MO 65613. The listed phone number is (417) 328-7000.

What is Matthew Ericksen's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

Is Matthew Ericksen enrolled in Medicare?

Yes. Matthew Ericksen 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 Matthew Ericksen accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Matthew Ericksen 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 Matthew Ericksen affiliated with any hospitals?

According to CMS data, Matthew Ericksen is affiliated with Cleveland Clinic Martin North Hospital, Hca Florida Lawnwood Hospital and St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Ericksen was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.