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ERIC JOHN KILTINEN MD
NPI 1528546314
Family Medicine in Pottstown, PA

Active since August 02, 2018PECOS EnrolledAccepts Medicare Assignment
78.36/100
CMS Quality Rating
1600 E HIGH ST, POTTSTOWN, PA 19464(610) 327-7000 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2021, Aug 2, 2018 (2 updates tracked since 2018).

About Eric John Kiltinen Md NPPES

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

ERIC JOHN KILTINEN MD (NPI 1528546314) is an individual family medicine provider in Pottstown, Pennsylvania, licensed in Pennsylvania (MD482514) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS, is affiliated with Pottstown Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1528546314
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERIC JOHN KILTINENCredential: MD
Location Address1600 E HIGH STPottstown, PA 19464-5008
Mailing Address1221 S BroadwayLexington, KY 40504-2701 · (859) 258-6200 · Fax (859) 425-4004
Phone(610) 327-7000
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2018
Enumeration DateAugust 2, 2018
Last NPPES UpdateFebruary 2, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1528546314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD482514
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 55580 (KY)
1600 E HIGH ST, Pottstown, PA 19464
Open in Google Maps ↗

Secondary Practice Location 1

Location 11401 Harrodsburg Rd Ste A120Lexington, KY 40504-3779 · Phone (859) 258-6784 · Fax (859) 258-6796

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 John Kiltinen 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 ID2668874520
PECOS Enrollment IDI20231009001095
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
307 services117 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
303 services120 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
125 services122 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
39 services38 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19464 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

78.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.13
Promoting Interoperability98
Improvement Activities40
Cost48.42

Referred Medical Equipment & Supplies CMS DME claims

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

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$28.08 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.

POTTSTOWN CLINIC COMPANY LLC
Psychiatry & Neurology (Neurology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7500
ANIL KUMAR M.D.
Radiology (Diagnostic Radiology)
1600 E HIGH ST, RADIOLOGY DEPARTMENT
POTTSTOWN, PA 19464
Montgomery County (610) 327-7282
DR. CHARU THAKRAL M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7111
MR. JEROME WEBER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
KANICA YASHI
Internal Medicine
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
ANDREW CHINOFSKY CRNP
Nurse Practitioner (Family)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
POTTSTOWN HOSPITAL, LLC
Clinic/Center (Ambulatory Surgical)
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000
LEE S ZELLEY M.D.
Obstetrics & Gynecology
1600 E HIGH ST
POTTSTOWN, PA 19464
Montgomery County (610) 327-7000

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 Kiltinen's NPI number?

The NPI number for Eric Kiltinen is 1528546314. It was assigned to this individual provider in the NPPES registry on August 2, 2018.

Where is Eric Kiltinen located?

Eric Kiltinen practices at 1600 E High St, Pottstown, PA 19464. The listed phone number is (610) 327-7000.

What is Eric Kiltinen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Kiltinen enrolled in Medicare?

Yes. Eric Kiltinen 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.

Is Eric Kiltinen affiliated with any hospitals?

According to CMS data, Eric Kiltinen is affiliated with Pottstown Hospital.

When was this NPI record last updated?

The NPPES record for Eric Kiltinen was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.