GORDON TODD ERICKSON (PA) – Physician Assistant, NPI 1194033530

GORDON TODD ERICKSON (PA) is a healthcare provider. based in Casper, Wyoming. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 501 (WY). The NPI Number for GORDON TODD ERICKSON (PA) is 1194033530

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
GORDON TODD ERICKSON (PA)
NPI
1194033530
Phone
(307) 234-9037
Address
5820 E 2ND ST
Enumeration Date
20 September 2010
Last Update Date
31 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3072866738
Graduation Year
2010 (16 years ago)
PAC ID
7416256045
Group Practice PAC ID
1254876683
Professional Enrollment ID
I20160503000230
Address ID
WY826332534DO222XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

323 PHYSICIAN ASSISTANT in WY

Provider Addresses for GORDON TODD ERICKSON (PA)

  • 5820 E 2ND ST

    CASPER, WY 826094308

    Phone: (307) 234-9037

    Fax: (307) 234-9042

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $802.

Total Amount is formed as General ($802) + Research ($0) + Ownership ($0) = $802.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: EMD Serono, Inc. ($249).

Total Amount

$802

General + Research + Ownership

Payments

11

Total payment records

General Amount

$802

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-05-03

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
I20160503000230IPhysician AssistantWYTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg54046$0
99213Established patient office or other outpatient visit, 20-29 minutes170108$0
99212Established patient office or other outpatient visit, 10-19 minutes146104$0
20553Injection of trigger points, 3 or more muscles10838$0
99214Established patient office or other outpatient visit, 30-39 minutes9172$0
View full utilization report →

Insurance plans in this area (ZIP 82609)

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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: 1254876683View full group profile
NameSpecialtyState
Nurse PractitionerWY
Physician AssistantWY
O B S T E T R I C S/ G Y N E C O L O G YNH
Nurse PractitionerWY
Family PracticeWY
Family PracticeTX
Physician AssistantWY
Physician AssistantIA
Nurse PractitionerWY
Physician AssistantCO

Reviews

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Frequently asked questions

What federal number belongs to GORDON TODD ERICKSON (PA)?
The federal identifier for GORDON TODD ERICKSON (PA) is NPI 1194033530.
Is GORDON TODD ERICKSON (PA) currently active in the NPI registry?
CMS-published data lists GORDON TODD ERICKSON (PA) as an active registrant.
Does GORDON TODD ERICKSON (PA) list a primary specialty?
If you are matching referrals, note Physician Assistant for GORDON TODD ERICKSON (PA). Clinical services aligned with this taxonomy classification.
What location shows for GORDON TODD ERICKSON (PA)?
We surface Casper, Wyoming for GORDON TODD ERICKSON (PA) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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