MARC H ERICKSON MD
NPI 1730105826
Surgery in Fort Atkinson, WI

Q: What is Marc Erickson's NPI number?

The NPI number for Marc Erickson is 1730105826. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Q: What is Marc Erickson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Marc Erickson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment

212 MILWAUKEE AVE W, FORT ATKINSON, WI 53538(920) 563-7900(920) 563-0258 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Marc H Erickson Md NPPES

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

MARC H ERICKSON MD (NPI 1730105826) is an individual surgery provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (35381-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Medical College Of Wisconsin (1989).

NPPES Registry Identity

NPI1730105826

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameMARC H ERICKSONCredential: MD

Location Address212 MILWAUKEE AVE WFort Atkinson, WI 53538-2022

Mailing Address212 Milwaukee Ave WFort Atkinson, WI 53538-2022 · (920) 563-7900 · Fax (920) 563-0258

Phone(920) 563-7900

Fax(920) 563-0258

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 1989

Enumeration DateJuly 14, 2006

Last NPPES UpdateMarch 7, 2023

✔ NPI 1730105826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in WI · 35381-020

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

212 MILWAUKEE AVE W, Fort Atkinson, WI 53538

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Other Identifiers 1

Medicaid32033900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and more.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

Marc H Erickson 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 ID3779474978

PECOS Enrollment IDI20040324001074

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 9

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.

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

67 services66 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

36 services36 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services25 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

17 services17 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.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number520071

Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53538 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 3

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

BILLIE G KONTNY MD

Surgery

212 MILWAUKEE AVE W
FORT ATKINSON, WI 53538

Jefferson County (920) 563-7900

KARI LYNN LEWICKI FNP

Nurse Practitioner (Family)

212 MILWAUKEE AVE W
FORT ATKINSON, WI 53538

Jefferson County (920) 563-7900

JONATHAN G MCLAUGHLIN MD

Surgery

212 MILWAUKEE AVE W
FORT ATKINSON, WI 53538

Jefferson County (920) 563-7900

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 Marc Erickson's NPI number?

The NPI number for Marc Erickson is 1730105826. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Marc Erickson located?

Marc Erickson practices at 212 Milwaukee Ave W, Fort Atkinson, WI 53538. The listed phone number is (920) 563-7900.

What is Marc Erickson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Marc Erickson enrolled in Medicare?

Yes. Marc Erickson 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 Marc Erickson accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, MercyCare Health Plans and Quartz list Marc Erickson 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 Marc Erickson affiliated with any hospitals?

According to CMS data, Marc Erickson is affiliated with Fort Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Marc Erickson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.