ERIN E. PIONTEK M.D.
NPI 1780754457
Family Medicine in Yarmouth, ME

Active since November 09, 2006PECOS EnrolledAccepts Medicare Assignment
385 ROUTE 1, YARMOUTH, ME 04096(207) 535-1200 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2022, Jul 2, 2019 (2 updates tracked since 2019).

About Erin E. Piontek M.d. NPPES

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

ERIN E. PIONTEK M.D. (NPI 1780754457) is an individual family medicine provider in Yarmouth, Maine, licensed in North Carolina (2022-02290) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780754457
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERIN E. PIONTEKCredential: M.D.
Location Address385 ROUTE 1Yarmouth, ME 04096
Mailing Address385 Route 1Yarmouth, ME 04096-6729 · (207) 535-1200 · Fax (207) 535-1249
Sole ProprietorNo
Medical School CMSSaint Louis University School Of MedicineGraduated 2003
Enumeration DateNovember 9, 2006
Last NPPES UpdateOctober 5, 20222 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1780754457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NC · 2022-02290 Licensed in ME · MD21536 Licensed in MO · 2004021603
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
385 ROUTE 1, Yarmouth, ME 04096

Secondary Practice Locations 2

Location 14460 S Lindbergh BlvdSaint Louis, MO 63127-1647 · Phone (314) 843-7557 · Fax (314) 849-8671
Location 21123 N Church StGreensboro, NC 27401-1007 · Phone (336) 832-4400

Other Identifiers 1

Medicaid201178209MO

Accepted 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

Erin E. Piontek 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 ID1052321734
PECOS Enrollment IDI20221019002981
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 2

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.
23 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04096 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers12 claims48 services$6.07 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 7

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

Family Medicine
385 ROUTE 1
YARMOUTH, ME 04096
Family Medicine
385 ROUTE 1
YARMOUTH, ME 04096
General Acute Care Hospital
385 ROUTE 1
YARMOUTH, ME 04096
Nurse Practitioner (Psychiatric/Mental Health)
385 ROUTE 1
YARMOUTH, ME 04096
Family Medicine
385 ROUTE 1
YARMOUTH, ME 04096
Nurse Practitioner (Family)
385 ROUTE 1
YARMOUTH, ME 04096
Internal Medicine
385 ROUTE 1
YARMOUTH, ME 04096

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 Erin Piontek's NPI number?

The NPI number for Erin Piontek is 1780754457. It was assigned to this individual provider in the NPPES registry on November 9, 2006.

Where is Erin Piontek located?

Erin Piontek practices at 385 Route 1, Yarmouth, ME 04096. The listed phone number is (207) 535-1200.

What is Erin Piontek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erin Piontek enrolled in Medicare?

Yes. Erin Piontek 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 Erin Piontek accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of NC list Erin Piontek 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 Erin Piontek affiliated with any hospitals?

According to CMS data, Erin Piontek is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Erin Piontek was last updated on October 5, 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.