ERIK G SMITH PT
NPI 1306166186
Physical Therapist in Eau Claire, WI

Active since June 03, 2010Accepts Medicare Assignment
82.79/100
CMS Quality Rating
3501 GOLF ROAD, EAU CLAIRE, WI 54701(715) 858-4200 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Erik G Smith Pt NPPES

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

ERIK G SMITH PT (NPI 1306166186) is an individual physical therapist in Eau Claire, Wisconsin, licensed in Wisconsin (11470) and active in the NPI registry since June 2010. He maintains a secondary practice location in Wausau and is a graduate of Other (2010).

NPPES Registry Identity

NPI1306166186
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameERIK G SMITHCredential: PT
Location Address3501 GOLF ROADEau Claire, WI 54701-8028
Mailing Address1000 N Oak AveMarshfield, WI 54449-5703 · (715) 387-5511
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 3, 2010
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1306166186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WI · 11470
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
3501 GOLF ROAD, Eau Claire, WI 54701

Secondary Practice Location 1

Location 13605 Stewart AveWausau, WI 54401-4938 · Phone (715) 847-3796

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

Erik G Smith Pt 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 ID2769676923
PECOS Enrollment IDI20101101001449

Medicare Billing Reassignments

6

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

Clinic/Center
2310 CRAIG RD
Eau Claire, WI 54701
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,476 clinicians in this Medicare group
Clinic/Center
806 2ND ST
Chetek, WI 54728
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,616 clinicians in this Medicare group
Clinic/Center
N3708 RIVER AVE
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,440 clinicians in this Medicare group
Clinic/Center
1000 N OAK AVE
Marshfield, WI 54449
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,540 clinicians in this Medicare group
Clinic/Center
98 SHERRY AVE
Park Falls, WI 54552
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,351 clinicians in this Medicare group
Family Medicine
1580 W JAMES ST
Columbus, WI 53925
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Beaver Dam Community Hospitals Inc.
  • 1,447 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54701 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.98
Promoting Interoperability99
Improvement Activities40
Cost66.19

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.

Pediatrics
3501 GOLF ROAD
EAU CLAIRE, WI 54701
Family Medicine
3501 GOLF ROAD
EAU CLAIRE, WI 54701
Family Medicine
3501 GOLF ROAD
EAU CLAIRE, WI 54701

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 Smith's NPI number?

The NPI number for Erik Smith is 1306166186. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Erik Smith located?

Erik Smith practices at 3501 Golf Road, Eau Claire, WI 54701. The listed phone number is (715) 858-4200.

What is Erik Smith's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Erik Smith enrolled in Medicare?

Yes. Erik Smith 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 Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erik Smith reassigns Medicare benefits to 6 organizations: Mchs Hospitals Inc (Eau Claire, WI), Lakeview Medical Center Inc Of Rice Lake (Chetek, WI), Memorial Hospital Inc (Neillsville, WI), Marshfield Clinic Inc (Marshfield, WI), Flambeau Hospital Inc (Park Falls, WI) 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 Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erik Smith accept?

Health plans from Sanford Health Plan and Security Health Plan list Erik Smith 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.

When was this NPI record last updated?

The NPPES record for Erik Smith was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.