DR. ERIC M KEPHART (D.O.) – Family Medicine Physician, NPI 1104913680

DR. ERIC M KEPHART (D.O.) is a healthcare provider. based in Altoona, Pennsylvania. specializing in SPORTS MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS014338 (PA). The NPI Number for DR. ERIC M KEPHART (D.O.) is 1104913680

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. ERIC M KEPHART (D.O.)
NPI
1104913680
Phone
(814) 942-1166
Address
3000 Fairway Dr
Enumeration Date
6 October 2006
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
2674064083
Graduation Year
2006 (20 years ago)
PAC ID
5799837167
Professional Enrollment ID
I20090715000568
Address ID
PA189026619DO403XXPARK300

Contacts

Secure Messaging
PAExchange@patientfirstclinics.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

440 SPORTS MEDICINE in PA

Provider Addresses for DR. ERIC M KEPHART (D.O.)

  • 3000 Fairway Dr

    Altoona, PA 166024472

    Phone: (814) 942-1166

    Fax: (814) 942-6222

    Type: Location

  • 5000 COX RD

    GLEN ALLEN, VA 230609263

    Phone: (804) 968-5700

    Type: Mailing

  • Lincoln Highway, Fairless Hills, Falls Township, Bucks County, Pennsylvania, 19030, United States

    FAIRLESS HILLS, PA 190301008

    Phone: (267) 587-0775

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-07-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090715000568ISports MedicinePATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1211$0
View full utilization report →

Insurance plans in this area (ZIP 16602)

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Provider's Procedures

DR. ERIC M KEPHART (D.O.) performs procedures in SPORTS MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SPORTS MEDICINEPA20610Aspiration and/or injection of large joint or joint capsule12362

Reviews

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Frequently asked questions

What is DR. ERIC M KEPHART (D.O.)'s NPI number?
DR. ERIC M KEPHART (D.O.)'s NPI is 1104913680 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. ERIC M KEPHART (D.O.)?
You should see DR. ERIC M KEPHART (D.O.) as active in CMS-hosted NPPES data.
How would a patient describe DR. ERIC M KEPHART (D.O.)'s focus?
For DR. ERIC M KEPHART (D.O.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. ERIC M KEPHART (D.O.)?
Travel planning: use Altoona, Pennsylvania as the reference point for DR. ERIC M KEPHART (D.O.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.