CLINTON ERICKSON (MD) – Emergency Medicine Physician, NPI 1063484376

CLINTON ERICKSON (MD) is a healthcare provider. based in Bowling green, Ohio. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 35.084841 (OH). The NPI Number for CLINTON ERICKSON (MD) is 1063484376

Main info

Male
Name
CLINTON ERICKSON (MD)
NPI
1063484376
Phone
(419) 354-9810
Address
950 W WOOSTER ST
Enumeration Date
2 February 2006
Last Update Date
26 February 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CLINTON ERICKSON (MD)

  • Wood County Hospital, 950, West Wooster Street, Foxgate Farm, Westgate Homes, Bowling Green, Wood County, Ohio, 43402, United States

    BOWLING GREEN, OH 434022603

    Phone: (419) 354-9810

    Type: Location

  • 6838 WOODLAKE DR

    TOLEDO, OH 436171141

    Phone: (419) 843-8907

    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: 2006-12-19

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
I20061219000380IEmergency MedicineNVTBD

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
99285Emergency department visit with high level of medical decision making227217$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only128120$0
99284Emergency department visit with moderate level of medical decision making5858$0
99291Critical care, first 30-74 minutes3634$0
View full utilization report →

Insurance plans in this area (ZIP 43402)

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Reviews

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Frequently asked questions

Is CLINTON ERICKSON (MD) listed with a National Provider Identifier?
Yes — CLINTON ERICKSON (MD) has NPI 1063484376 on file in the registry.
Would CLINTON ERICKSON (MD) appear as active to a payer?
You can treat CLINTON ERICKSON (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CLINTON ERICKSON (MD)?
CLINTON ERICKSON (MD)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is CLINTON ERICKSON (MD) registered?
Use Bowling Green, Ohio as the headline location for CLINTON ERICKSON (MD) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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