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DR. ERIC WILLIAM WORTMANN M.D.
NPI 1457465577
Emergency Medicine in Kalaheo, HI

Active since August 18, 2006PECOS Enrolled
84.24/100
CMS Quality Rating
3994 PAI ST, KALAHEO, HI 96741(808) 332-6314(808) 332-6314 Get Directions Write a Review

NPPES record last updated: August 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Eric William Wortmann M.d. NPPES

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

DR. ERIC WILLIAM WORTMANN M.D. (NPI 1457465577) is an individual emergency medicine provider in Kalaheo, Hawaii, licensed in Hawaii (8883) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457465577
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ERIC WILLIAM WORTMANNCredential: M.D.
Location Address3994 PAI STKalaheo, HI 96741-9592
Mailing Address3994 Pai StKalaheo, HI 96741-9592 · (808) 332-6314 · Fax (808) 332-6314
Phone(808) 332-6314
Fax(808) 332-6314
Sole ProprietorYes
Enumeration DateAugust 18, 2006
Last NPPES UpdateAugust 13, 2011
✔ NPI 1457465577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in HI · 8883
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3994 PAI ST, Kalaheo, HI 96741
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Other Identifiers 2

Medicaid04482401HI
Medicare UPINF16033HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric William Wortmann M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Eric Wortmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dhhs Phs Naihs Chinle Comprehensive Health Care Facility
3,104 mi
General Acute Care Hospital
NAVAJO ROUTE 4
Pinon, AZ 86510
  • Reassigned Medicare billing, Texas enrollment
  • 476 clinicians in this Medicare group
NPI 1396761565 (928) 725-3220

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 96741 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

84.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.91
Promoting Interoperability98
Improvement Activities40
Cost67.56

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 Wortmann's NPI number?

The NPI number for Eric Wortmann is 1457465577. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Eric Wortmann located?

Eric Wortmann practices at 3994 Pai St, Kalaheo, HI 96741. The listed phone number is (808) 332-6314.

What is Eric Wortmann's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Eric Wortmann enrolled in Medicare?

Yes. Eric Wortmann is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eric Wortmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Wortmann reassigns Medicare benefits to Dhhs Phs Naihs Chinle Comprehensive Health Care Facility (Pinon, AZ). The 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 Eric Wortmann's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Wortmann was last updated on August 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.