DR. ERICA O'KANE MD
NPI 1962931535
Internal Medicine - Critical Care Medicine in Philadelphia, PA

Active since June 07, 2017PECOS EnrolledAccepts Medicare Assignment
92.44/100
CMS Quality Rating
230 N BROAD ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jul 24, 2024, Apr 26, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Erica O'kane Md NPPES

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

DR. ERICA O'KANE MD (NPI 1962931535) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD482034) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Cloud Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1962931535
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. ERICA O'KANECredential: MD
Location Address230 N BROAD STPhiladelphia, PA 19102-1121
Mailing Address5765 Centre Ave Apt 225Pittsburgh, PA 15206-5703 · (302) 463-0989
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 24, 20244 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1962931535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · MD482034
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
230 N BROAD ST, Philadelphia, PA 19102

Secondary Practice Location 1

Location 1245 N 15th St Dept OfPhiladelphia, PA 19102-1101 · Phone (215) 762-3585

Other Identifiers 2

OtherMT213965Hahnemann University Hospital
OtherMT213965PA · Upmc Mercy Hospital

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

Dr. Erica O'kane 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 ID4880948561
PECOS Enrollment IDI20240826003968
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 services57 patients
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.
26 services22 patients

Hospital Affiliations CMS Care Compare 2

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

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240036
Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County
Emergency services Birthing friendly

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240075
Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

92.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.49
Promoting Interoperability95.58
Improvement Activities40

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
230 N BROAD ST
PHILADELPHIA, PA 19102
Pharmacist
230 N BROAD ST, B40
PHILADELPHIA, PA 19102
Anesthesiology
230 N BROAD ST
PHILADELPHIA, PA 19102
Surgery
230 N BROAD ST
PHILADELPHIA, PA 19102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST, 744 N TOWER
PHILADELPHIA, PA 19102
Surgery
230 N BROAD ST, HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
PHILADELPHIA, PA 19102
Radiology (Diagnostic Radiology)
230 N BROAD ST
PHILADELPHIA, PA 19102
Internal Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102

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 Erica O'kane's NPI number?

The NPI number for Erica O'kane is 1962931535. It was assigned to this individual provider in the NPPES registry on June 7, 2017.

Where is Erica O'kane located?

Erica O'kane practices at 230 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Erica O'kane's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Erica O'kane enrolled in Medicare?

Yes. Erica O'kane 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 Erica O'kane accept?

Health plans from Medica and Sanford Health Plan list Erica O'kane 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 Erica O'kane affiliated with any hospitals?

According to CMS data, Erica O'kane is affiliated with St Cloud Hospital and Essentia Health St Joseph's Medical Center.

When was this NPI record last updated?

The NPPES record for Erica O'kane was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.