ERIKA K FELLINGER MD
NPI 1861414823
Surgery in Cambridge, MA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
86.26/100
CMS Quality Rating
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139(617) 665-3575 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erika K Fellinger Md NPPES

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

ERIKA K FELLINGER MD (NPI 1861414823) is an individual surgery provider in Cambridge, Massachusetts, licensed in Massachusetts (220541) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cambridge Health Alliance, and is a graduate of University Of Vermont College Of Medicine (1998).

NPPES Registry Identity

NPI1861414823
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameERIKA K FELLINGERCredential: MD
Location Address1493 CAMBRIDGE STCambridge, MA 02139-1047
Mailing Address1493 Cambridge StCambridge, MA 02139-1047 · (617) 665-3575
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 1998
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 5, 2011
NPI 1861414823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MA · 220541
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.
1493 CAMBRIDGE ST, Cambridge, MA 02139

Other Identifiers 4

Medicaid2079411MA
Medicare PINA37077MA
OtherJ27627MA · Bcbsma
Medicare UPINI09673

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

Erika K Fellinger Md 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 ID749250272
PECOS Enrollment IDI20040730000421
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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
13 services13 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Cambridge Health Alliance

Acute Care Hospitals · Cambridge, MA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number220011
Location1493 Cambridge StreetCambridge, MA 02138 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02139 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

86.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.84
Promoting Interoperability100
Improvement Activities40
Cost58.7

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Social Worker (Clinical)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Ambulatory Care)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Registered Nurse (Neonatal, Low-Risk)
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139
Occupational Therapist
1493 CAMBRIDGE ST
CAMBRIDGE, MA 02139

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 Erika Fellinger's NPI number?

The NPI number for Erika Fellinger is 1861414823. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Erika Fellinger located?

Erika Fellinger practices at 1493 Cambridge St, Cambridge, MA 02139. The listed phone number is (617) 665-3575.

What is Erika Fellinger's specialty?

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

Is Erika Fellinger enrolled in Medicare?

Yes. Erika Fellinger 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 Erika Fellinger accept?

Health plans from Anthem Blue Cross and Blue Shield list Erika Fellinger 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 Erika Fellinger affiliated with any hospitals?

According to CMS data, Erika Fellinger is affiliated with Cambridge Health Alliance.

When was this NPI record last updated?

The NPPES record for Erika Fellinger was last updated on December 5, 2011. 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.