DR. ERIKA LYNN FAIRCLOTH D.O.
NPI 1346774064
Internal Medicine - Cardiovascular Disease in Upton, MA
About Dr. Erika Lynn Faircloth D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ERIKA LYNN FAIRCLOTH D.O. (NPI 1346774064) is an individual cardiovascular disease provider in Upton, Massachusetts, licensed in Massachusetts (1017969) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2017).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Erika Lynn Faircloth 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.
Medicare Billing Reassignments
3Medicare enrollment records show Erika Faircloth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Newton, MA 02462
- Reassigned Medicare billing, Massachusetts enrollment
- 992 clinicians in this Medicare group
Medford, MA 02155
- Reassigned Medicare billing, Massachusetts enrollment
- 258 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 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Massachusetts General Hospital
Acute Care Hospitals · Boston, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MABrigham And Women's Hospital
Acute Care Hospitals · Boston, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01568 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPTON, MA 01568
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 Erika Faircloth's NPI number?
The NPI number for Erika Faircloth is 1346774064. It was assigned to this individual provider in the NPPES registry on April 19, 2017.
Where is Erika Faircloth located?
Erika Faircloth practices at 236 Milford St, Upton, MA 01568. The listed phone number is (508) 473-1015.
What is Erika Faircloth's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Erika Faircloth enrolled in Medicare?
Yes. Erika Faircloth 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 Erika Faircloth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erika Faircloth reassigns Medicare benefits to 3 organizations: Umass Memorial Medical Group Inc (Worcester, MA), Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Mass General Brigham Community Physicians Inc (Medford, MA). 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 Erika Faircloth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erika Faircloth accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Erika Faircloth 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 Erika Faircloth affiliated with any hospitals?
According to CMS data, Erika Faircloth is affiliated with Massachusetts General Hospital, Milford Regional Medical Center, Brigham And Women's Hospital and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for Erika Faircloth was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Erika Lynn Faircloth, D.O. · NPI 1346774064
Cardiovascular Disease physician in Upton, Massachusetts. Individual provider, active in the CMS NPPES registry since April 19, 2017.
## Identity
- **NPI:** 1346774064 (Entity type: Individual)
- **Enumerated:** April 19, 2017
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 1017969 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 236 MILFORD ST, Upton, MA 01568-1309
- **Phone:** (508) 473-1015 · **Fax:** (508) 634-0261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA); Mass General Brigham Medical Group Suburban Massachusetts Inc (NPI 1538191218, Newton, MA); Mass General Brigham Community Physicians Inc (NPI 1548638265, Medford, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2017
## Record status
- **NPPES last updated:** July 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346774064) · Data from the CMS NPPES public registry.