ERIC J JR. EWALD (MD) – Family Medicine Physician, NPI 1114157179
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
13,194 FAMILY PRACTICE in CA
Provider Addresses for ERIC J JR. EWALD (MD)
401 Paradise Road Suite E
Modesto, CA 95351
Phone: (209) 558-4000
Fax: (209) 558-5036
Type: Location
1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, El Dorado County, California, 96150, United States
SOUTH LAKE TAHOE, CA 961506207
Phone: (530) 543-5659
Fax: (530) 541-8723
Type: Mailing
Pioneer Trail, Pentagon Tract, Bijou, South Lake Tahoe, El Dorado County, California, 96151, United States
STATELINE, NV 89449
Phone: (775) 589-8900
Fax: (775) 588-7110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $722.
Total Amount is formed as General ($722) + Research ($0) + Ownership ($0) = $722.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Evolution Surgical, Inc ($505).
Total Amount
$722
General + Research + Ownership
Payments
7
Total payment records
General Amount
$722
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Evolution Surgical, Inc | $505 |
| Arthrex, Inc. | $218 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-12-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121108000124 | I | Family Practice | CA | TBD |
| I20151211000519 | I | Family Practice | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 122 | 116 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 57 | 57 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 54 | $0 |
| 71046 | X-ray of chest, 2 views | 33 | 32 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 32 | 16 | $0 |
Insurance plans in this area (ZIP 95351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | CA | |
| Occupational Therapist In Private Practice | CA | |
| Critical Care (Intensivists), Emergency Medicine | NV | |
| Family Practice | CA | |
| P S Y C H I A T R Y | CA | |
| Critical Care (Intensivists), Emergency Medicine, Emergency Medicine | CA | |
| O T O L A R Y N G O L O G Y | PA | |
| U R O L O G Y | CA | |
| Internal Medicine | CA | |
| Clinical Social Worker | MA |
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