ERIKA CROCKFORD D.O.
NPI 1962935304
Family Medicine in Eagle River, WI

Active since April 04, 2017PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
930 E WALL ST, EAGLE RIVER, WI 54521(715) 477-3000 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 27, 2020, May 23, 2019, Jan 9, 2019 and 1 more (4 updates tracked since 2018).

About Erika Crockford D.o. NPPES

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

ERIKA CROCKFORD D.O. (NPI 1962935304) is an individual family medicine provider in Eagle River, Wisconsin, licensed in Wisconsin (69655) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962935304
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameERIKA CROCKFORDCredential: D.O.
Location Address930 E WALL STEagle River, WI 54521-9368
Mailing Address930 E Wall StEagle River, WI 54521-9368 · (715) 477-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 4, 2017
Last NPPES UpdateJuly 27, 20204 updates tracked since enumeration
NPPES CertifiedJuly 27, 2020
NPI 1962935304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 69655
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

930 E WALL ST, Eagle River, WI 54521

Secondary Practice Locations 2

Location 1191 Theater RdOnalaska, WI 54650-8679 · Phone (608) 392-5000
Location 2815 10th St SLA Crosse, WI 54601-4764 · Phone (608) 785-0940

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 Crockford D.o. 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 ID1355699869
PECOS Enrollment IDI20181001000540
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.

Hospital Affiliations CMS Care Compare 5

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Howard Young Medical Center

Acute Care Hospitals · Woodruff, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520091
Location240 Maple StWoodruff, WI 54568 · Vilas County
Emergency services

Marshfield Medical Center - Minocqua

Acute Care Hospitals · Minocqua, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520212
Location9576 Highway 70Minocqua, WI 54548 · Oneida County
Emergency services Birthing friendly

Aspirus Eagle River Hospital

Critical Access Hospitals · Eagle River, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521300
Location201 Hospital RoadEagle River, WI 54521 · Vilas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54521 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims34 services$4.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
930 E WALL ST
EAGLE RIVER, WI 54521
Family Medicine
930 E WALL ST
EAGLE RIVER, WI 54521
Nurse Practitioner (Primary Care)
930 E WALL ST
EAGLE RIVER, WI 54521
Nurse Practitioner (Family)
930 E WALL ST
EAGLE RIVER, WI 54521
Clinic/Center (Rural Health)
930 E WALL ST
EAGLE RIVER, WI 54521
Nurse Practitioner
930 E WALL ST
EAGLE RIVER, WI 54521
Nurse Practitioner (Family)
930 E WALL ST
EAGLE RIVER, WI 54521

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962935304, enumerated as an "individual" on April 04, 2017.

The provider is located at 930 E WALL ST EAGLE RIVER, WI 54521 and the phone number is (715) 477-3000.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.

Erika Crockford is affiliated with: ASPIRUS RHINELANDER HOSPITAL, ASPIRUS WAUSAU HOSPITAL, HOWARD YOUNG MEDICAL CENTER, MARSHFIELD MEDICAL CENTER - MINOCQUA and ASPIRUS EAGLE RIVER HOSPITAL.