ERICA THALER MD
NPI 1740216928
Otolaryngology in Philadelphia, PA
About Erica Thaler Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA THALER MD (NPI 1740216928) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD047211L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Harvard Medical School (1990).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
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
Erica Thaler 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.
Medicare Billing Reassignment
Medicare enrollment records show Erica Thaler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,488 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAChester County Hospital
Acute Care Hospitals · West Chester, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPennsylvania Hospital
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Erica Thaler's NPI number?
The NPI number for Erica Thaler is 1740216928. It was assigned to this individual provider in the NPPES registry on June 23, 2006.
Where is Erica Thaler located?
Erica Thaler practices at 3400 Spruce St 5 Silverstein Bldg, Philadelphia, PA 19104. The listed phone number is (215) 662-2777.
What is Erica Thaler's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Erica Thaler enrolled in Medicare?
Yes. Erica Thaler 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 Erica Thaler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Thaler reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, 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 Erica Thaler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Thaler accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Erica Thaler 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 Erica Thaler affiliated with any hospitals?
According to CMS data, Erica Thaler is affiliated with University Medical Center Of Princeton At Plainsboro, Hospital Of Univ Of Pennsylvania, Chester County Hospital, Penn Presbyterian Medical Center and Pennsylvania Hospital.
When was this NPI record last updated?
The NPPES record for Erica Thaler was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Erica Thaler, MD · NPI 1740216928
Otolaryngology physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 23, 2006.
## Identity
- **NPI:** 1740216928 (Entity type: Individual)
- **Enumerated:** June 23, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** MD047211L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3400 SPRUCE ST, 5 SILVERSTEIN BLDG, Philadelphia, PA 19104-4206
- **Phone:** (215) 662-2777 · **Fax:** (215) 662-4613
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Penn-Medical Group (NPI 1073902169, Philadelphia, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 1990
## Record status
- **NPPES last updated:** June 14, 2012
- **Other identifiers:** Medicare PIN 802429 (PA); Medicare UPIN G15918; Medicaid 0015434540002 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740216928) · Data from the CMS NPPES public registry.