DR. THOMAS ANDREW ERCHINGER M.D.
NPI 1427050723
Surgery in Wilkes-barre, PA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711(570) 808-2340(570) 808-7904 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2020, Jun 20, 2016, Dec 11, 2015 (3 updates tracked since 2015).

About Dr. Thomas Andrew Erchinger M.d. NPPES

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

DR. THOMAS ANDREW ERCHINGER M.D. (NPI 1427050723) is an individual surgery provider in Wilkes-barre, Pennsylvania, licensed in Pennsylvania (MD457236) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1988).

NPPES Registry Identity

NPI1427050723
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. THOMAS ANDREW ERCHINGERCredential: M.D.
Location Address1000 EAST MOUNTAIN BLVD.Wilkes-barre, PA 18711-3762
Mailing Address100 North Academy Ave.Danville, PA 17822-4903 · (570) 271-6144
Fax(570) 808-7904
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1988
Enumeration DateJune 1, 2005
Last NPPES UpdateAugust 31, 20203 updates tracked since enumeration
NPPES CertifiedAugust 31, 2020
NPI 1427050723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses Licensed in PA · MD457236 Licensed in MS · 12458
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 12458 (MS)
1000 EAST MOUNTAIN BLVD., Wilkes-barre, PA 18711

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. Thomas Andrew Erchinger M.d. 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 ID1254515166
PECOS Enrollment IDI20160525001534
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 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.

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.
56 services45 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
43 services41 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.
42 services37 patients
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.
29 services27 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
20 services20 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

Hospital Affiliations CMS Care Compare 3

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18711 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers13 claims600 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers13 claims595 services$0.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Physician Assistant (Medical)
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Radiology (Diagnostic Radiology)
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Anesthesiology
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Hospitalist
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Internal Medicine (Medical Oncology)
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Internal Medicine (Cardiovascular Disease)
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711
Neurological Surgery
1000 EAST MOUNTAIN BLVD.
WILKES-BARRE, PA 18711

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 Thomas Erchinger's NPI number?

The NPI number for Thomas Erchinger is 1427050723. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Thomas Erchinger located?

Thomas Erchinger practices at 1000 East Mountain Blvd., Wilkes-Barre, PA 18711. The listed phone number is (570) 808-2340.

What is Thomas Erchinger's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Thomas Erchinger enrolled in Medicare?

Yes. Thomas Erchinger 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 Thomas Erchinger accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Thomas Erchinger 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 Thomas Erchinger affiliated with any hospitals?

According to CMS data, Thomas Erchinger is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Erchinger was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.