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KENNETH LEE ERDMAN JR. DO
NPI 1639118797
Family Medicine in Mifflintown, PA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
2813 INDUSTRIAL PARK RD, MIFFLINTOWN, PA 17059(717) 436-8283(717) 436-5594 Get Directions Write a Review

NPPES record last updated: April 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2022, Feb 16, 2021, Dec 27, 2017 and 1 more (4 updates tracked since 2016).

About Kenneth Lee Erdman Jr. Do NPPES

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

KENNETH LEE ERDMAN JR. DO (NPI 1639118797) is an individual family medicine provider in Mifflintown, Pennsylvania, licensed in Pennsylvania (OS010955L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Philadelphia College Of Osteopathic Medicine (1998).

NPPES Registry Identity

NPI1639118797
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH LEE ERDMAN JR.Credential: DO
Location Address2813 INDUSTRIAL PARK RDMifflintown, PA 17059-9078
Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185
Phone(717) 436-8283
Fax(717) 436-5594
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1998
Enumeration DateJune 5, 2006
Last NPPES UpdateApril 15, 20224 updates tracked since enumeration
NPPES CertifiedApril 15, 2022
✔ NPI 1639118797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS010955L
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.
2813 INDUSTRIAL PARK RD, Mifflintown, PA 17059
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Other Identifiers 1

Medicaid0018482810003PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Lee Erdman Jr. Do 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 ID8426061003
PECOS Enrollment IDI20100429000121
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 Kenneth Erdman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Practice Center, PC
23 mi
Physical Therapist
7 DOCK HILL RD
Middleburg, PA 17842
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 357 clinicians in this Medicare group
NPI 1154376937 (570) 837-2123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
505 services80 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.
458 services198 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
210 services48 patients
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.
157 services104 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
140 services140 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
79 services79 patients

Hospital Affiliations CMS Care Compare 3

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

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-Lewistown Hospital

Acute Care Hospitals · Lewistown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390048
Location400 Highland AvenueLewistown, PA 17044 · Mifflin County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17059 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers78 claims160 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers34 claims56 services$1.13 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers21 claims21 services$108.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers20 claims50 services$42.44 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$68.96 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers19 claims19 services$22.66 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW THOMAS MORGAN DPT
Physical Therapist
2813 INDUSTRIAL PARK RD, SUITE 3
MIFFLINTOWN, PA 17059
Juniata County (717) 436-6042
MICHELLE ST OMER ROY
Student in an Organized Health Care Education/Training Program
2813 INDUSTRIAL PARK RD
MIFFLINTOWN, PA 17059
Juniata County (717) 436-8283
GEISINGER CLINIC
Pharmacy (Community/Retail Pharmacy)
2813 INDUSTRIAL PARK RD, STE 1
MIFFLINTOWN, PA 17059
Juniata County (717) 436-8278
EVAN MADSEN
Physical Therapist
2813 INDUSTRIAL PARK RD, SUITE 3
MIFFLINTOWN, PA 17059
Juniata County (717) 436-6042
MANDY LOUISE MANEVAL MD
Family Medicine
2813 INDUSTRIAL PARK RD
MIFFLINTOWN, PA 17059
Juniata County (717) 436-8283
MADONA PAKKAM
Student in an Organized Health Care Education/Training Program
2813 INDUSTRIAL PARK RD
MIFFLINTOWN, PA 17059
Juniata County (717) 436-8283
ANDREA SMITH DO
Student in an Organized Health Care Education/Training Program
2813 INDUSTRIAL PARK RD
MIFFLINTOWN, PA 17059
Juniata County (717) 436-8283
MAHA OBIDEEN MD
Student in an Organized Health Care Education/Training Program
2813 INDUSTRIAL PARK RD
MIFFLINTOWN, PA 17059
Juniata County (717) 436-8283

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 Kenneth Erdman's NPI number?

The NPI number for Kenneth Erdman is 1639118797. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kenneth Erdman located?

Kenneth Erdman practices at 2813 Industrial Park Rd, Mifflintown, PA 17059. The listed phone number is (717) 436-8283.

What is Kenneth Erdman's specialty?

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

Is Kenneth Erdman enrolled in Medicare?

Yes. Kenneth Erdman 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.

Which organization bills Medicare for Kenneth Erdman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Erdman reassigns Medicare benefits to Family Practice Center, PC (Middleburg, PA). 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 Kenneth Erdman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kenneth Erdman affiliated with any hospitals?

According to CMS data, Kenneth Erdman is affiliated with Geisinger Medical Center, Geisinger-Lewistown Hospital and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Kenneth Erdman was last updated on April 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.