DR. ERICH L ERNSPIKER (M.D.) – Surgery Physician, NPI 1821285727
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
539 GENERAL SURGERY in KY
Provider Addresses for DR. ERICH L ERNSPIKER (M.D.)
PO BOX 432
PIKEVILLE, KY 415020432
Phone: (606) 430-2202
Fax: (606) 218-7502
Type: Mailing
911 Bypass Rd Bldg A
Pikeville, KY 415011689
Phone: (606) 430-2202
Fax: (606) 218-7502
Type: Location
911 BYPASS RD BLDG A
PIKEVILLE, KY 415011689
Phone: (606) 430-2202
Fax: (606) 218-7502
Type: Location
280, Virginia Avenue Northeast, Norton, Norton City, Virginia, 24273, United States
SUITE 4
NORTON, VA 242731538
Phone: (276) 679-2310
Fax: (276) 679-8460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $52.
Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.
Last reported payment date: 2023-05-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($19).
Total Amount
$52
General + Research + Ownership
Payments
3
Total payment records
General Amount
$52
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $19 |
| Organogenesis Inc. | $19 |
| Tactile Systems Technology Inc | $15 |
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: 2014-01-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20140106000654 | I | General Surgery | VA | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 56 | 41 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 31 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 19 | 19 | $0 |
| 45378 | Diagnostic exam of large bowel using a flexible endoscope | 18 | 17 | $0 |
Insurance plans in this area (ZIP 41502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NC | |
| - | VA | |
| - | ME | |
| - | VA |
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