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ERICA L SKIPTON M.D.
NPI 1780020909
Surgery in Cortland, NY

Active since May 14, 2013PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
1095 COMMONS AVE, CORTLAND, NY 13045(607) 753-0700 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2022, Sep 2, 2020 (2 updates tracked since 2020).

About Erica L Skipton M.d. NPPES

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

ERICA L SKIPTON M.D. (NPI 1780020909) is an individual surgery provider in Cortland, New York, licensed in Pennsylvania (MD464737) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1780020909
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameERICA L SKIPTONCredential: M.D.
Location Address1095 COMMONS AVECortland, NY 13045-1669
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(607) 753-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 14, 2013
Last NPPES UpdateOctober 21, 20222 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1780020909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD464737✔ Licensed in NY · 318161
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.
1095 COMMONS AVE, Cortland, NY 13045
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Erica L Skipton 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 ID8820387905
PECOS Enrollment IDI20220929003711
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.

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.
47 services33 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.
46 services46 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.
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.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13045 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Other Providers at the Same Location NPPES 4

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

UPSTATE ENT PLLC
Nurse Practitioner
1095 COMMONS AVE
CORTLAND, NY 13045
Cortland County (607) 756-8075
JAMES FULLER LAWSING III M.D.
Orthopaedic Surgery
1095 COMMONS AVE
CORTLAND, NY 13045
Cortland County (607) 758-3750
UPSTATE ENT, PLLC
Otolaryngology
1095 COMMONS AVE
CORTLAND, NY 13045
Cortland County (607) 756-8075
JAMES SAMUEL LEONARD D.P.M.
Podiatrist (Primary Podiatric Medicine)
1095 COMMONS AVE
CORTLAND, NY 13045
Cortland County (607) 756-5422

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 Skipton's NPI number?

The NPI number for Erica Skipton is 1780020909. It was assigned to this individual provider in the NPPES registry on May 14, 2013.

Where is Erica Skipton located?

Erica Skipton practices at 1095 Commons Ave, Cortland, NY 13045. The listed phone number is (607) 753-0700.

What is Erica Skipton's specialty?

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

Is Erica Skipton enrolled in Medicare?

Yes. Erica Skipton 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 Erica Skipton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Erica Skipton 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 Skipton affiliated with any hospitals?

According to CMS data, Erica Skipton is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc and Guthrie Cortland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Erica Skipton was last updated on October 21, 2022. 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.