ERIC JAMES COTTER MD
NPI 1346746021
Orthopaedic Surgery - Sports Medicine in Madison, WI

Q: What is Eric Cotter's NPI number?

The NPI number for Eric Cotter is 1346746021. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Q: What is Eric Cotter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Eric Cotter was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment

70.99/100

CMS Quality Rating

621 SCIENCE DR, MADISON, WI 53711(608) 263-8850 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 20, 2024, Dec 12, 2024, Aug 15, 2024 and 3 more (6 updates tracked since 2020).

On this page

About Eric James Cotter Md NPPES

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

ERIC JAMES COTTER MD (NPI 1346746021) is an individual sports medicine provider in Madison, Wisconsin, licensed in Wisconsin (73056) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1346746021

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameERIC JAMES COTTERCredential: MD

Location Address621 SCIENCE DRMadison, WI 53711-1074

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 263-8850

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2018

Enumeration DateApril 2, 2018

Last NPPES UpdateDecember 20, 20246 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1346746021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in WI · 73056✔ Licensed in IL · 036.163779

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 73056 (WI)

621 SCIENCE DR, Madison, WI 53711

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.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

Eric James Cotter 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 ID4486901352

PECOS Enrollment IDI20240828004427

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 3

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.

24 services22 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520071

Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County

Emergency services Birthing friendly

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520089

Location202 S Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number520098

Location600 Highland AvenueMadison, WI 53792 · Dane County

Emergency services

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.

70.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Promoting Interoperability

Improvement Activities

Cost

63.98

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.

JOHN MCKINLEY MS, ATC, LAT

Specialist/Technologist (Athletic Trainer)

621 SCIENCE DR
MADISON, WI 53711

Dane County (608) 263-5321

SADIE REDING

Specialist/Technologist (Athletic Trainer)

621 SCIENCE DR
MADISON, WI 53711

Dane County (608) 265-8303

UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY

Durable Medical Equipment & Medical Supplies

621 SCIENCE DR, ROOM 2220A
MADISON, WI 53711

Dane County (608) 265-3341

JAMIE TASCO MS, ATC, LAT, OTC

Specialist/Technologist (Athletic Trainer)

621 SCIENCE DR
MADISON, WI 53711

Dane County (608) 265-8303

KRISTEN R TRAINO MS PT

Physical Therapist

621 SCIENCE DR, COMPLIANCE MAIL CODE-9150
MADISON, WI 53711

Dane County (608) 265-8364

DR. BRYAN HEIDERSCHEIT P.T., PH.D.

Physical Therapist

621 SCIENCE DR, UW SPORTS REHABILITATION
MADISON, WI 53711

Dane County (608) 263-4765

ARIEL HERSCHEL KWART

Orthopaedic Surgery

621 SCIENCE DR
MADISON, WI 53711

Dane County (608) 265-3207

CAITLIN JOCHIMSEN LAT, MS

Specialist/Technologist (Athletic Trainer)

621 SCIENCE DR
MADISON, WI 53711

Dane County (608) 263-8850

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 Cotter's NPI number?

The NPI number for Eric Cotter is 1346746021. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Eric Cotter located?

Eric Cotter practices at 621 Science Dr, Madison, WI 53711. The listed phone number is (608) 263-8850.

What is Eric Cotter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Eric Cotter enrolled in Medicare?

Yes. Eric Cotter 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 Cotter accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW, HealthPartners and Quartz and 1 other insurer list Eric Cotter 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 Cotter affiliated with any hospitals?

According to CMS data, Eric Cotter is affiliated with Fort Memorial Hospital, Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Eric Cotter was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.