DR. RUSSELL IRVING CARL ERICKSON IV MD
NPI 1376991059
Psychiatry & Neurology - Neurology in Biddeford, ME

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
46 BARRA RD, BIDDEFORD, ME 04005(207) 282-5509 Get Directions Write a Review

NPPES record last updated: July 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Russell Irving Carl Erickson Iv Md NPPES

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

DR. RUSSELL IRVING CARL ERICKSON IV MD (NPI 1376991059) is an individual neurology provider in Biddeford, Maine, licensed in Maine (MS24535) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Loma Linda University School Of Medicine (2015).

NPPES Registry Identity

NPI1376991059
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. RUSSELL IRVING CARL ERICKSON IVCredential: MD
Location Address46 BARRA RDBiddeford, ME 04005-9459
Mailing Address46 Barra RdBiddeford, ME 04005-9459 · (207) 282-5509
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2015
Enumeration DateJune 2, 2016
Last NPPES UpdateJuly 26, 2021
NPPES CertifiedJuly 26, 2021
NPI 1376991059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in ME · MS24535
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
46 BARRA RD, Biddeford, ME 04005

Other Names 1

Professional Name (2)Carl Erickson Md

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. Russell Irving Carl Erickson Iv 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 ID648676213
PECOS Enrollment IDI20210907001747
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
95 services82 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
66 services66 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.
50 services50 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
25 services14 patients

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04005 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
$128.83 typical visit price
range $56.28 – $169.96
Typical copayment $32.20 (range $14.07 – $42.49)
Most-billed visit code 99204
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine
46 BARRA RD
BIDDEFORD, ME 04005
Nurse Practitioner (Family)
46 BARRA RD
BIDDEFORD, ME 04005
Occupational Therapist
46 BARRA RD
BIDDEFORD, ME 04005
Physical Therapist
46 BARRA RD
BIDDEFORD, ME 04005
Internal Medicine
46 BARRA RD
BIDDEFORD, ME 04005
Physical Therapist
46 BARRA RD
BIDDEFORD, ME 04005
Occupational Therapist
46 BARRA RD
BIDDEFORD, ME 04005
Occupational Therapist
46 BARRA RD
BIDDEFORD, ME 04005

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 Russell Erickson's NPI number?

The NPI number for Russell Erickson is 1376991059. It was assigned to this individual provider in the NPPES registry on June 2, 2016. The provider is also known as Carl Erickson MD.

Where is Russell Erickson located?

Russell Erickson practices at 46 Barra Rd, Biddeford, ME 04005. The listed phone number is (207) 282-5509.

What is Russell Erickson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Russell Erickson enrolled in Medicare?

Yes. Russell Erickson 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 Russell Erickson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Russell Erickson 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 Russell Erickson affiliated with any hospitals?

According to CMS data, Russell Erickson is affiliated with Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Erickson was last updated on July 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.