ERIC G WELDER MD
NPI 1629565569
Orthopaedic Surgery - Sports Medicine in Columbus, OH
NPI Status: Active since April 17, 2018
Contact Information
376 W 10TH AVE
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-6194
- Individual
- Male
- Years of Experience 8
- Orthopaedic Surgery
- Sports Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ERIC WELDER
This page provides the complete NPI Profile along with additional information for Eric Welder, a provider established in Columbus, Ohio with a medical specialization in Orthopaedic Surgery, focusing in sports medicine and more than 8 years of experience. He graduated from Ohio State University College Of Medicine in 2018. The healthcare provider is registered in the NPI registry with number 1629565569 assigned on April 2018. The practitioner's primary taxonomy code is 207XX0005X with license number DR.0071043 (CO). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1629565569
- Provider Name
- ERIC G WELDER MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 376 W 10TH AVE COLUMBUS, OH 43210
- Location Phone
- (614) 293-6194
- Mailing Address
- PO BOX 110429 AURORA, CO 80042
- Medical School Name
- OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 2018
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-17-2018
- Last Update Date
- 07-12-2023
- Code Navigator
Location Map
Secondary Locations
- 175 Inverness Dr W Ste 200
Englewood, CO 80112
(303) 694-3333
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DR.0071043
- License State
- CO
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Eric Welder is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Eric Welder is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779944350
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230728002321
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 2 | 9 | 5 | 6 | 5 | 5 | 6 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 4 | 9 | 10 | 6 | 10 | 5 | 12 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 4 + 9 + 1 + 0 + 6 + 1 + 0 + 5 + 1 + 2 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1629565569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
CAROL PETKE
Nurse Practitioner
(Family)
376 W 10TH AVE
791 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DEBORAH LYNN SEELING
Nurse Practitioner
(Family)
376 W 10TH AVE
COLUMBUS, OH
ZIP 43210
DR. LYDIA MARIE SAHLANI M.D.
Emergency Medicine
376 W 10TH AVE
750 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DR. MARK P FORAN M.D., M.P.H.
Emergency Medicine
376 W 10TH AVE
760 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DR. AMAR VIRA M.D.
Emergency Medicine
376 W 10TH AVE
791 PRIOR HALL
COLUMBUS, OH
ZIP 43210
AFTON MARIE STONEKING C.N.P.
Nurse Practitioner
376 W 10TH AVE
COLUMBUS, OH
ZIP 43210
JARRED M. BOWMAN P.A.-C
Physician Assistant
376 W 10TH AVE
COLUMBUS, OH
ZIP 43210
ANDREW DAVID YOCUM M.D.
Emergency Medicine
376 W 10TH AVE
750 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DR. ASHLEY IVKOVICH HEANEY M.D.
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
PHILIP EDWARD KRAY M.D.
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
JOHN THOMAS GRANTHAM M.D.
Emergency Medicine
376 W 10TH AVE
750 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DR. MAYA WALKER HAMILTON MD
Emergency Medicine
376 W 10TH AVE
COLUMBUS, OH
ZIP 43210
LISA PURSELL
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DANIEL FRANCESCON MD
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
DAVID CALCARA MD
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
CHAD MAYER MD PHD
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
BRETT CHRISTOPHER EBELING MD
Emergency Medicine
376 W 10TH AVE
776 PRIOR HALL
COLUMBUS, OH
ZIP 43210
MICHAEL GREGORY PURCELL
Emergency Medicine
376 W 10TH AVE
760 PRIOR HALL
COLUMBUS, OH
ZIP 43210
TALITHA ASHBY M.D.
Emergency Medicine
376 W 10TH AVE
760 PRIOR HALL
COLUMBUS, OH
ZIP 43210
ERIC T DAVIS MD
Emergency Medicine
376 W 10TH AVE
760 PRIOR HALL
COLUMBUS, OH
ZIP 43210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629565569, enumerated as an "individual" on April 17, 2018.
The provider is located at 376 W 10TH AVE COLUMBUS, OH 43210 and the phone number is (614) 293-6194.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.