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DR. ANDREW MARK COULTER M.D.
NPI 1891158077
Psychiatry & Neurology - Psychiatry in Erie, PA

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
2501 W 12TH ST STE C9, ERIE, PA 16505(814) 866-8484(814) 866-8485 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 13, 2026, Dec 17, 2020 (2 updates tracked since 2020).

About Dr. Andrew Mark Coulter M.d. NPPES

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

DR. ANDREW MARK COULTER M.D. (NPI 1891158077) is an individual psychiatry provider in Erie, Pennsylvania, licensed in Pennsylvania (MD481885) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1891158077
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ANDREW MARK COULTERCredential: M.D.
Location Address2501 W 12TH ST STE C9Erie, PA 16505-4540
Mailing Address2501 W 12th St Ste C9Erie, PA 16505-4540 · (814) 866-8484 · Fax (814) 866-8485
Phone(814) 866-8484
Fax(814) 866-8485
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1891158077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD481885
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
2501 W 12TH ST STE C9, Erie, PA 16505
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Andrew Mark Coulter 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 ID2365737509
PECOS Enrollment IDI20231123000173
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 Andrew Coulter reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Obstetrics & Gynecology
2501 W 12TH ST, SUITE 10
Erie, PA 16505
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1538594197 (814) 314-0072
St Vincent Medical Education And Research Institute Inc
3.0 mi
Internal Medicine
2314 SASSAFRAS ST, 2ND FLOOR - ADMIN OFFICE
Erie, PA 16502
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 483 clinicians in this Medicare group
NPI 1902881477 (814) 452-5043
University Of Pittsburgh Physicians
51 mi
Urgent Care
464 ALLEGHENY BLVD, PENNWOOD CENTER
Franklin, PA 16323
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1619381456 (814) 432-9801

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
38 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16505 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 2

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

SARAH SCHAEFER LPC
Counselor
2501 W 12TH ST STE C9
ERIE, PA 16505
Erie County (814) 866-8484
ETHAN TRAN FNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2501 W 12TH ST STE C9
ERIE, PA 16505
Erie County (814) 866-8484

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 Andrew Coulter's NPI number?

The NPI number for Andrew Coulter is 1891158077. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Andrew Coulter located?

Andrew Coulter practices at 2501 W 12th St Ste C9, Erie, PA 16505. The listed phone number is (814) 866-8484.

What is Andrew Coulter's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Andrew Coulter enrolled in Medicare?

Yes. Andrew Coulter 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 Andrew Coulter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Coulter reassigns Medicare benefits to 3 organizations: Allegheny Clinic (Erie, PA), St Vincent Medical Education And Research Institute Inc (Erie, PA) and University Of Pittsburgh Physicians (Franklin, PA). 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 Andrew Coulter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Coulter accept?

Health plans from CareSource list Andrew Coulter 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 Andrew Coulter affiliated with any hospitals?

According to CMS data, Andrew Coulter is affiliated with Upmc Mercy.

When was this NPI record last updated?

The NPPES record for Andrew Coulter was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.