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DR. ERICH L ERNSPIKER M.D.
NPI 1821285727
Surgery in Roanoke Rapids, NC

Active since September 25, 2007PECOS EnrolledAccepts Medicare Assignment
97 HIGHWAY NC 125, ROANOKE RAPIDS, NC 27870(252) 537-1933 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 20, 2022, Jun 7, 2022, Apr 20, 2021 and 1 more (4 updates tracked since 2020).

About Dr. Erich L Ernspiker M.d. NPPES

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

DR. ERICH L ERNSPIKER M.D. (NPI 1821285727) is an individual surgery provider in Roanoke Rapids, North Carolina, licensed in North Carolina (2024-02820) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Clinch Valley Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821285727
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ERICH L ERNSPIKERCredential: M.D.
Location Address97 HIGHWAY NC 125Roanoke Rapids, NC 27870
Mailing AddressPo Box 432Pikeville, KY 41502-0432 · (606) 430-2202 · Fax (606) 218-7502
Phone(252) 537-1933
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2003
Enumeration DateSeptember 25, 2007
Last NPPES UpdateJune 10, 20264 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1821285727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NC · 2024-02820✔ Licensed in VA · 0101254580✔ Licensed in KY · 42548
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.
97 HIGHWAY NC 125, Roanoke Rapids, NC 27870
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Secondary Practice Locations 2

Location 1280 Virginia Ave NE, Suite 4Norton, VA 24273-1538 · Phone (276) 679-2310 · Fax (276) 679-8460
Location 2911 Bypass Rd Bldg APikeville, KY 41501-1689 · Phone (606) 430-2202 · Fax (606) 218-7502

Other Identifiers 3

Other622640KY · Anthem
Medicaid65930364KY
Medicaid7100078780KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Dr. Erich L Ernspiker 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 ID6800947300
PECOS Enrollment IDI20140106000654
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

3

Medicare enrollment records show Erich Ernspiker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vidant Medical Group LLC
58 mi
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1477648731 (252) 847-2181
Dlp Twin County Physician Practices LLC
173 mi
Family Medicine
702 PINE ST
Hillsville, VA 24343
  • Reassigned Medicare billing, Virginia enrollment
  • 91 clinicians in this Medicare group
NPI 1497020226 (276) 728-4311
Buchanan Health Care LLC
252 mi
Specialist
1532 SLATE CREEK ROAD,, SUITE 204 MEDICAL OFFICE BLDG, 2ND FLOOR
Grundy, VA 24614
  • Reassigned Medicare billing, Virginia enrollment
  • 18 clinicians in this Medicare group
NPI 1609808484 (276) 935-1167

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 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 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.
48 services40 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.
33 services33 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.
33 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Clinch Valley Medical Center

Acute Care Hospitals · Richlands, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490060
Location6801 Governor Gc Perry HighwayRichlands, VA 24641 · Tazewell County
Emergency services Birthing friendly

Buchanan General Hospital

Acute Care Hospitals · Grundy, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490127
Location1535 Slate Creek RoadGrundy, VA 24614 · Buchanan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27870 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Erich Ernspiker's NPI number?

The NPI number for Erich Ernspiker is 1821285727. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Erich Ernspiker located?

Erich Ernspiker practices at 97 Highway Nc 125, Roanoke Rapids, NC 27870. The listed phone number is (252) 537-1933.

What is Erich Ernspiker's specialty?

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

Is Erich Ernspiker enrolled in Medicare?

Yes. Erich Ernspiker 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 organizations bill Medicare for Erich Ernspiker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erich Ernspiker reassigns Medicare benefits to 3 organizations: Vidant Medical Group LLC (Greenville, NC), Dlp Twin County Physician Practices LLC (Hillsville, VA) and Buchanan Health Care LLC (Grundy, VA). 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 Erich Ernspiker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erich Ernspiker accept?

Health plans from UnitedHealthcare list Erich Ernspiker 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 Erich Ernspiker affiliated with any hospitals?

According to CMS data, Erich Ernspiker is affiliated with Clinch Valley Medical Center and Buchanan General Hospital.

When was this NPI record last updated?

The NPPES record for Erich Ernspiker was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.