ERIC JOHN ENGLISH MD
NPI 1639155138
Obstetrics & Gynecology in Lake Elmo, MN

Active since December 16, 2005PECOS EnrolledAccepts Medicare Assignment
84.34/100
CMS Quality Rating
8650 HUDSON BLVD N, #325, LAKE ELMO, MN 55042(651) 265-6745(651) 714-8255 Get Directions Write a Review

NPPES record last updated: April 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eric John English Md NPPES

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

ERIC JOHN ENGLISH MD (NPI 1639155138) is an individual obstetrics & gynecology provider in Lake Elmo, Minnesota, licensed in Minnesota (47902) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of Creighton University School Of Medicine (1999).

NPPES Registry Identity

NPI1639155138
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameERIC JOHN ENGLISHCredential: MD
Location Address8650 HUDSON BLVD N, #325Lake Elmo, MN 55042-9747
Mailing Address14001 Ridgedale Dr, Ste 200Minnetonka, MN 55305-1753 · (952) 249-2031 · Fax (952) 249-2099
Fax(651) 714-8255
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1999
Enumeration DateDecember 16, 2005
Last NPPES UpdateApril 13, 2012
NPI 1639155138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MN · 47902
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

8650 HUDSON BLVD N, Lake Elmo, MN 55042

Other Identifiers 4

Medicare ID-Type Unspecified000971520WI
Medicaid755010300MN
Medicare UPINH79598
Medicaid34345800WI

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

Eric John English 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 ID7315969201
PECOS Enrollment IDI20051220000342
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

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 20-29 minutes 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.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55042 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

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.

84.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Promoting Interoperability100
Improvement Activities40
Cost61.49

Reported Quality Measures

Breast Cancer Screening
77%206 patients4/55-star benchmark: 93%
Cervical Cancer Screening
77%696 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
37%78 patients2/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
96%1,452 patients4/55-star benchmark: 100%
e-Prescribing
100%345 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
36%768 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%1,245 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 751 patients
0%751 patients
Provide Patients Electronic Access to Their Health Information
90%407 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,650 services$1.64 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.

Dentist (Endodontics)
8650 HUDSON BLVD N, 105
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042
Nurse Anesthetist, Certified Registered
8650 HUDSON BLVD N
LAKE ELMO, MN 55042

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639155138, enumerated as an "individual" on December 16, 2005.

The provider is located at 8650 HUDSON BLVD N #325 LAKE ELMO, MN 55042 and the phone number is (651) 265-6745.

Obstetrics & Gynecology with taxonomy code 207V00000X.

The provider might be accepting Accepts: HealthPartners, Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Eric English is affiliated with: M HEALTH FAIRVIEW SOUTHDALE HOSPITAL and M HEALTH FAIRVIEW UNIVERSITY OF MN.