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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ERIC COLTON MD
NPI 1790723492
Obstetrics & Gynecology in San Luis Obispo, CA

Active since June 03, 2006PECOS Enrolled
35 CASA ST, SUITE 220, SAN LUIS OBISPO, CA 93405(805) 595-1808(805) 595-1815 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2026, Feb 15, 2016, Dec 26, 2015 (3 updates tracked since 2015).

About Dr. Eric Colton Md NPPES

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

DR. ERIC COLTON MD (NPI 1790723492) is an individual obstetrics & gynecology provider in San Luis Obispo, California, licensed in California (136432) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Quincy.

NPPES Registry Identity

NPI1790723492
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. ERIC COLTONCredential: MD
Location Address35 CASA ST, SUITE 220San Luis Obispo, CA 93405-1818
Mailing Address35 Casa St Ste 220San Luis Obispo, CA 93405-1890 · (805) 595-1808 · Fax (805) 595-1815
Phone(805) 595-1808
Fax(805) 595-1815
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateSeptember 15, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2026
✔ NPI 1790723492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in CA · 136432✔ Licensed in IL · 036154746
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
35 CASA ST, San Luis Obispo, CA 93405
Open in Google Maps ↗

Secondary Practice Location 1

Location 1927 Broadway StQuincy, IL 62301-2719 · Phone (217) 214-3830 · Fax (217) 223-9172

Other Identifiers 1

OtherCB241359CA · Medicare Id

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Colton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

7

Medicare enrollment records show Eric Colton reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

First Choice Physician Partners
Same address
Internal Medicine
77 CASA ST, SUITE 108
San Luis Obispo, CA 93405
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1043641103 (805) 541-6225
Physician Groups, Lc
1,574 mi
Primary Care
1600 N MORLEY ST, SUITE A120
Moberly, MO 65270
  • Reassigned Medicare billing, Missouri enrollment
  • 611 clinicians in this Medicare group
NPI 1811063936 (660) 263-1225
Blessing Hospital
1,630 mi
Multi-Specialty
1005 BROADWAY ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 363 clinicians in this Medicare group
NPI 1114471737 (217) 223-8400
Quincy Physicians & Surgeons Clinic, PLLC
1,630 mi
Clinic/Center
1025 MAINE ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 252 clinicians in this Medicare group
NPI 1548234198 (217) 222-6550
Fairview Heights Medical Group Sc
1,679 mi
Multi-Specialty
670 MASON RIDGE CENTER DR STE 300
Saint Louis, MO 63141
  • Reassigned Medicare billing, Illinois enrollment
  • 507 clinicians in this Medicare group
NPI 1679503668 (314) 996-7644
Heartland Women's Healthcare Ltd
1,705 mi
Clinical Medical Laboratory
6 PARK PL
Swansea, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 52 clinicians in this Medicare group
NPI 1043852932 (618) 997-5266
Obhg Illinois Sc
1,824 mi
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
NPI 1700107216 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$135.73 typical visit price
range $59.84 – $178.89
Typical copayment $33.93 (range $14.96 – $44.72)
Most-billed visit code 99204
Established Patient
$74.24 typical visit price
range $19.70 – $146.55
Typical copayment $18.56 (range $4.92 – $36.63)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
88%262 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
92%737 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
82%749 patients2/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%600 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%1,393 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
80%976 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 687 patients
Patients tobacco: 3% · 32 patients
93%687 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%1,393 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
57%1,393 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
65%1,393 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. BERND SCHUMACHER M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
35 CASA ST, SUITE 270
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-2057
FIRST CHOICE PHYSICIAN PARTNERS
Family Medicine
35 CASA ST, SUITE 320
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 250-4844
DR. KURT HAUPT M.D.
Obstetrics & Gynecology
35 CASA ST, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 786-4111
TONI MACCLAIN NP
Nurse Practitioner (Women's Health)
35 CASA ST, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 595-1808
KRISTINA NELSON DILWORTH RN, MS, FNP, ADM
Nurse Practitioner
35 CASA ST, SUITE 130
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 541-1422
DR. DAVID W. LEECE M.D.
Family Medicine
35 CASA ST, SUITE 170
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 540-5035
HP CONTINGENT
Clinic/Center (Medical Specialty)
35 CASA ST, SUITE 370
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 900-0741
MS. CYNTHIA RAE SCOTT RNP
Nurse Practitioner (Women's Health)
35 CASA ST, SUITE 220
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 595-1808

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 Eric Colton's NPI number?

The NPI number for Eric Colton is 1790723492. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Eric Colton located?

Eric Colton practices at 35 Casa St Suite 220, San Luis Obispo, CA 93405. The listed phone number is (805) 595-1808.

What is Eric Colton's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Eric Colton enrolled in Medicare?

Yes. Eric Colton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eric Colton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eric Colton reassigns Medicare benefits to 7 organizations: First Choice Physician Partners (San Luis Obispo, CA), Physician Groups, Lc (Moberly, MO), Blessing Hospital (Quincy, IL), Quincy Physicians & Surgeons Clinic, PLLC (Quincy, IL), Fairview Heights Medical Group Sc (Saint Louis, MO) and 2 more organizations, listed in the Medicare section above. Each 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 Eric Colton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eric Colton was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.