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DR. ERIC LOMBARDI D.O.
NPI 1699016063
Emergency Medicine in Janesville, WI

Active since March 11, 2013PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
1000 MINERAL POINT AVE, JANESVILLE, WI 53548(608) 756-6611(608) 756-6177 Get Directions Write a Review

NPPES record last updated: December 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eric Lombardi D.o. NPPES

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

DR. ERIC LOMBARDI D.O. (NPI 1699016063) is an individual emergency medicine provider in Janesville, Wisconsin, licensed in Indiana (02004758A) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1699016063
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ERIC LOMBARDICredential: D.O.
Location Address1000 MINERAL POINT AVEJanesville, WI 53548-2940
Mailing Address1000 Mineral Point AveJanesville, WI 53548-2940 · (608) 756-6611 · Fax (608) 756-6177
Phone(608) 756-6611
Fax(608) 756-6177
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateMarch 11, 2013
Last NPPES UpdateDecember 12, 2019
✔ NPI 1699016063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IN · 02004758A✔ Licensed in WI · 65873-21
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1000 MINERAL POINT AVE, Janesville, WI 53548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Eric Lombardi D.o. 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 ID9234433640
PECOS Enrollment IDI20160205000182
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
432 services412 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
108 services107 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
101 services99 patients

Hospital Affiliations CMS Care Compare 3

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150015
Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County
Emergency services Birthing friendly

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Franciscan Health Indianapolis

Acute Care Hospitals · Indianapolis, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150162
Location8111 S Emerson AveIndianapolis, IN 46237 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53548 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

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.

BENJAMIN C. MILLER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6508
KARINA LAURA PAULIUS QUINN MD
Plastic Surgery
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
ALESIA L DRAKE DPT, PT
Physical Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6842
PAULINE R CASS PHARMD
Pharmacist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
KAREN SAUNDERS OT
Occupational Therapist
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
DR. MERLE S RUST MD
Neurological Surgery
1000 MINERAL POINT AVE, MERCY WEST NEUROSURGERY
JANESVILLE, WI 53548
Rock County (608) 756-6826
DR. MICHAEL V COOGAN MD
Emergency Medicine (Medical Toxicology)
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6000
CHRISTOPHER B GOODAVISH PA
Physician Assistant
1000 MINERAL POINT AVE
JANESVILLE, WI 53548
Rock County (608) 756-6868

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 Lombardi's NPI number?

The NPI number for Eric Lombardi is 1699016063. It was assigned to this individual provider in the NPPES registry on March 11, 2013.

Where is Eric Lombardi located?

Eric Lombardi practices at 1000 Mineral Point Ave, Janesville, WI 53548. The listed phone number is (608) 756-6611.

What is Eric Lombardi's specialty?

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

Is Eric Lombardi enrolled in Medicare?

Yes. Eric Lombardi 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.

What insurance does Eric Lombardi accept?

Health plans from CareSource list Eric Lombardi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Lombardi affiliated with any hospitals?

According to CMS data, Eric Lombardi is affiliated with Franciscan Health Michigan City, Franciscan Health Crown Point and Franciscan Health Indianapolis.

When was this NPI record last updated?

The NPPES record for Eric Lombardi was last updated on December 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.