DR. THOMAS WILLIAM ERICKSEN M.D.
NPI 1770595498
Internal Medicine in Springfield, OH

Q: What is Thomas Ericksen's NPI number?

The NPI number for Thomas Ericksen is 1770595498. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Thomas Ericksen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Ericksen was last updated on August 6, 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.

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment

17.18/100

CMS Quality Rating

1835 E HIGH ST, SPRINGFIELD, OH 45505(937) 525-0100(937) 525-9376 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Thomas William Ericksen M.d. NPPES

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

DR. THOMAS WILLIAM ERICKSEN M.D. (NPI 1770595498) is an individual internal medicine provider in Springfield, Ohio, licensed in Ohio (35060150) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1977).

NPPES Registry Identity

NPI1770595498

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. THOMAS WILLIAM ERICKSENCredential: M.D.

Location Address1835 E HIGH STSpringfield, OH 45505-5210

Mailing Address1835 E High StSpringfield, OH 45505-5210 · (937) 525-0100 · Fax (937) 525-9376

Phone(937) 525-0100

Fax(937) 525-9376

Sole ProprietorYes

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1977

Enumeration DateAugust 12, 2006

Last NPPES UpdateAugust 6, 2012

✔ NPI 1770595498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35060150

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1835 E HIGH ST, Springfield, OH 45505

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Other Identifiers 3

Medicare UPINB94724

Medicare ID-Type UnspecifiedER0702165OH

Medicaid0843234OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, UnitedHealthcare.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. Thomas William Ericksen M.d. 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 ID6103093786

PECOS Enrollment IDI20120123000455

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 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.

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.

666 services200 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

318 services167 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.

161 services108 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.

64 services29 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

37 services26 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

33 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360086

Location100 Medical Center DriveSpringfield, OH 45504 · Clark County

Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number360355

Location100 West Main StreetSpringfield, OH 45502 · Clark County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45505 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

17.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

57.29

Referred Medical Equipment & Supplies CMS DME claims 3

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

Lubricant, individual sterile packet, each A4332

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims1,080 services$0.10 avg. paid by Medicare

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352

DME-Orthotic Devices · category DF008N

1 supplier12 claims1,080 services$5.21 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

3 suppliers19 claims19 services$27.84 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 10

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

AURORA CARDENAS-BALL N.P.

Nurse Practitioner (Obstetrics & Gynecology)