MICHAEL SHANE ERICKSON (MD) – Sports Medicine (Family Medicine) Physician, NPI 1295703221

MICHAEL SHANE ERICKSON (MD) is a healthcare provider. based in Arlington, Washington. specializing in SPORTS MEDICINE, FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00042707 (WA). The NPI Number for MICHAEL SHANE ERICKSON (MD) is 1295703221

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL SHANE ERICKSON (MD)
NPI
1295703221
Phone
(360) 454-1900
Address
2901 174th Pl NE
Enumeration Date
8 March 2006
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2063866111
Graduation Year
2000 (26 years ago)
PAC ID
3476449216
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20040226001074
Address ID
WA981041316SE1401XSTXX303
Telehealth
Yes

Contacts

Secure Messaging
merickson1041564@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

188 SPORTS MEDICINE in WA

Provider Addresses for MICHAEL SHANE ERICKSON (MD)

  • 2901 174th Pl NE

    Arlington, WA 982236445

    Phone: (360) 454-1900

    Type: Location

  • 1600 E Jefferson St Ste 600

    Seattle, WA 981225649

    Phone: (206) 386-2677

    Fax: (425) 498-2334

    Type: Location

  • 100, 16th Avenue, Little Saigon, Central District, Seattle, King County, Washington, 98122, United States

    SEATTLE, WA 98122

    Phone: (206) 320-2484

    Fax: (206) 320-4568

    Type: Location

  • PO BOX 25608

    SALT LAKE CITY, UT 841250608

    Phone: (206) 320-4476

    Fax: (206) 568-7043

    Type: Mailing

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: 2004-02-26

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
I20040226001074ISports MedicineWATBD

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
20611Aspiration and/or injection of fluid large joint using ultrasound guidance13881$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose9423$0
76881Complete ultrasound scan of joint8175$0
99214Established patient office or other outpatient visit, 30-39 minutes8059$0
J1030Injection, methylprednisolone acetate, 40 mg6453$0
View full utilization report →

Insurance plans in this area (ZIP 98223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL SHANE ERICKSON (MD)?
NPI 1295703221 is assigned to MICHAEL SHANE ERICKSON (MD) under the national enumeration system.
Is MICHAEL SHANE ERICKSON (MD)'s NPI currently valid?
The extract we use shows MICHAEL SHANE ERICKSON (MD) as active.
Can you summarize MICHAEL SHANE ERICKSON (MD)'s specialty in plain language?
Clinically, the directory lists MICHAEL SHANE ERICKSON (MD) with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL SHANE ERICKSON (MD)?
The page summarizes Arlington, Washington for MICHAEL SHANE ERICKSON (MD); expand the address list for detail.
What if Arlington, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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