JACOB L ERICKSON (DO) – Sports Medicine (Family Medicine) Physician, NPI 1861787814
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
152 SPORTS MEDICINE in WI
Provider Addresses for JACOB L ERICKSON (DO)
PO BOX 1510
EAU CLAIRE, WI 547021510
Phone: (608) 785-0940
Type: Mailing
191 THEATER RD
ONALASKA, WI 54650
Phone: (608) 785-0940
Type: Location
200 Hawkins Dr
Dept Family/Sports Medicine
Iowa City, IA 522421009
Phone: (319) 384-7000
Type: Location
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (608) 785-0940
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: 2015-08-05
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 |
|---|---|---|---|---|
| I20150805009653 | I | Sports Medicine | WI | 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 |
|---|---|---|---|---|
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 422 | 252 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 74 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 85 | 85 | $0 |
| 20606 | Aspiration and/or injection of fluid from medium joint using ultrasound guidance | 77 | 51 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 39 | $0 |
Insurance plans in this area (ZIP 54702)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | MN | |
| - | MN | |
| U R O L O G Y | WI | |
| Physician Assistant | MN |
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