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DR. DARLENE M. MILTENBURG M.D.
NPI 1982664413
Surgery in Erie, PA

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
300 STATE ST STE 107, ERIE, PA 16507(814) 877-3900(814) 877-3950 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Darlene M. Miltenburg M.d. NPPES

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

DR. DARLENE M. MILTENBURG M.D. (NPI 1982664413) is an individual surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD487207) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1982664413
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. DARLENE M. MILTENBURGCredential: M.D.
Location Address300 STATE ST STE 107Erie, PA 16507-1428
Mailing Address300 State St Ste 107Erie, PA 16507-1428 · (814) 877-3900 · Fax (814) 877-3950
Phone(814) 877-3900
Fax(814) 877-3950
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMarch 27, 2006
Last NPPES UpdateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
✔ NPI 1982664413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in PA · MD487207✔ Licensed in TX · K6890
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.
300 STATE ST STE 107, Erie, PA 16507
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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. Darlene M. Miltenburg 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 ID3971646506
PECOS Enrollment IDI20241113002273
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

2

Medicare enrollment records show Darlene Miltenburg reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regional Health Services Inc
0.2 mi
Family Medicine
201 STATE ST
Erie, PA 16550
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 962 clinicians in this Medicare group
NPI 1174520654 (814) 877-8140
Advanced Surgeons & Physicians Network, Inc.
1,209 mi
Family Medicine
4200 TWELVE OAKS DR
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 139 clinicians in this Medicare group
NPI 1508030917 (713) 795-4884

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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 5

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

JORDAN KEELER
Nurse Practitioner
300 STATE ST STE 107, SUITE 107
ERIE, PA 16507
Erie County (814) 877-3900
GREGORY SCOTT ENGEL MD
Surgery
300 STATE ST STE 107
ERIE, PA 16507
Erie County (814) 877-3900
CAROL A HAGER CRNP
Nurse Practitioner
300 STATE ST STE 107
ERIE, PA 16507
Erie County (814) 877-3900
AMY GEHRLEIN CRNP
Nurse Practitioner (Women's Health)
300 STATE ST STE 107
ERIE, PA 16507
Erie County (814) 877-3900
EMILY NAGURNEY
Nurse Practitioner
300 STATE ST STE 107, SUITE 107
ERIE, PA 16507
Erie County (814) 877-3900

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 Darlene Miltenburg's NPI number?

The NPI number for Darlene Miltenburg is 1982664413. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is Darlene Miltenburg located?

Darlene Miltenburg practices at 300 State St Ste 107, Erie, PA 16507. The listed phone number is (814) 877-3900.

What is Darlene Miltenburg's specialty?

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

Is Darlene Miltenburg enrolled in Medicare?

Yes. Darlene Miltenburg 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 Darlene Miltenburg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Darlene Miltenburg reassigns Medicare benefits to 2 organizations: Regional Health Services Inc (Erie, PA) and Advanced Surgeons & Physicians Network, Inc. (Houston, TX). 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 Darlene Miltenburg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Darlene Miltenburg accept?

Health plans from Oscar Insurance Company list Darlene Miltenburg 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 Darlene Miltenburg affiliated with any hospitals?

According to CMS data, Darlene Miltenburg is affiliated with Upmc Hamot and Upmc Northwest.

When was this NPI record last updated?

The NPPES record for Darlene Miltenburg was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.