Active NPI 1114013216 Individual Practitioner Male Practitioner

Dr. Eric P Cotter , MD

Internal Medicine • Leominster, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Eric Cotter, MD is a certified Internal Medicine practicing in Leominster, MA. With approximately 48 years of clinical experience since graduating from University Of Massachusetts Medical School in 1978, Dr. Cotter delivers high-quality medical care to the local community at 50 MEMORIAL DRIVE.

Dr. Cotter accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

50 Memorial Drive
Suite 214

Leominster, MA 01453

Telephone 9785346863

Fax 9785343417

Associated Practice Facility / Clinic

🏢 Coordinated Primary Care Facility NPI 1104880673

Medicare Profile & Education

Medical School

University Of Massachusetts Medical School

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Leominster, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +16.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

37 Specialists

Practicing in Leominster, MA (7127 Statewide)

Telehealth Adoption Rate

16.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

79.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cotter (48 Years) 48 Yrs

Leominster Specialty Average (31.3 Years) 31.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	399	233	$445.00	$94.53
99213 Established patient office or other outpatient visit, typically 15 minutes	153	118	$300.00	$79.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$389.00	$55.03
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	17	$166.00	$42.80
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	25	$621.46	$126.49
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	23	21	$81.00	$6.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$178.00	$57.16
99496 Transitional care management services for problem of high complexity	14	14	$881.00	$164.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	330	199	$396.79	$98.68
99213 Established patient office or other outpatient visit, typically 15 minutes	92	80	$298.78	$72.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$389.00	$58.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	48	$503.89	$133.38
93000 Routine ekg using at least 12 leads including interpretation and report	31	28	$131.00	$14.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$547.00	$169.74
82962 Blood glucose (sugar) test performed by hand-held instrument	24	21	$12.00	$3.21
G0008 Administration of influenza virus vaccine	22	22	$86.00	$33.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	18	$166.00	$42.64
99496 Transitional care management services for problem of high complexity	20	19	$881.00	$163.50
G0009 Administration of pneumococcal vaccine	13	13	$86.00	$33.84
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$478.31	$265.20
90662 Influenza vaccine split virus, preservative free	13	13	$186.00	$71.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	385	203	$359.00	$99.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	47	40	$482.00	$104.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$389.00	$61.02
82962 Blood glucose (sugar) test performed by hand-held instrument	33	25	$12.00	$3.24
93000 Routine ekg using at least 12 leads including interpretation and report	16	14	$131.00	$13.97
99496 Transitional care management services for problem of high complexity	15	15	$881.00	$126.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	334	199	$477.72	$121.51
82962 Blood glucose (sugar) test performed by hand-held instrument	59	32	$12.00	$3.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	54	$359.00	$84.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$382.44	$54.54
99443 Telephone medical discussion with physician, 21-30 minutes	22	19	$382.00	$137.12
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$131.00	$15.63
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$244.00	$73.30
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$214.00	$56.08
99496 Transitional care management services for problem of high complexity	11	11	$881.00	$136.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	350	203	$429.00	$154.15
99443 Telephone medical discussion with physician, 21-30 minutes	100	82	$307.60	$115.54
82962 Blood glucose (sugar) test performed by hand-held instrument	35	26	$12.00	$3.25
G0008 Administration of influenza virus vaccine	26	26	$74.00	$18.94
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	26	26	$39.00	$18.78
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$131.00	$18.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$348.00	$123.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	13	$214.00	$57.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	502	235	$428.26	$151.63
82962 Blood glucose (sugar) test performed by hand-held instrument	129	74	$12.00	$3.21
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	54	54	$38.93	$17.16
G0008 Administration of influenza virus vaccine	53	53	$73.62	$17.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$348.00	$122.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$214.00	$56.26
93000 Routine ekg using at least 12 leads including interpretation and report	13	11	$131.00	$18.11
99496 Transitional care management services for problem of high complexity	12	12	$862.58	$225.15
G0009 Administration of pneumococcal vaccine	11	11	$74.00	$17.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	415	221	$420.00	$150.02
82962 Blood glucose (sugar) test performed by hand-held instrument	113	68	$12.00	$3.21
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	64	$38.00	$17.48
G0008 Administration of influenza virus vaccine	60	59	$69.00	$23.21
G0009 Administration of pneumococcal vaccine	47	47	$69.00	$23.17
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$198.00	$105.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$214.00	$56.32
81002 Urinalysis, manual test	19	19	$9.00	$3.41
90670 Pneumococcal vaccine for injection into muscle	15	15	$392.00	$196.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	248	165	$417.21	$149.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	159	$297.57	$110.96
82962 Blood glucose (sugar) test performed by hand-held instrument	108	51	$12.00	$3.15
93000 Routine ekg using at least 12 leads including interpretation and report	61	56	$131.00	$17.65
G0009 Administration of pneumococcal vaccine	49	49	$69.00	$28.66
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	49	46	$38.00	$17.48
G0008 Administration of influenza virus vaccine	44	41	$69.00	$28.66
81002 Urinalysis, manual test	34	34	$9.00	$3.43
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	29	23	$214.00	$55.76
90670 Pneumococcal vaccine for injection into muscle	26	26	$392.00	$185.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$198.00	$94.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$343.04	$119.76
G0102 Prostate cancer screening; digital rectal examination	14	14	$69.14	$20.83

Medical Specialties & State Licenses

CMS Verified: 2020-10-28

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 46142

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0136115 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

65150 (MA)

Commercial Insurance / Payer ID Tufts Health Plan

046142 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Sandrina Rodrigues , NP

Nurse Practitioner

NPI 1508055427

Nurse Practitioner

Dr. Mark Haberman , MD

Internal Medicine

NPI 1528161940

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location February 03, 2012

Registered at 50 MEMORIAL DRIVE, SUITE 214, LEOMINSTER, MA 01453 (Tel: 9785346863)

📍

Updated Business Mailing Address February 03, 2012

Registered at PO BOX 415348, BOSTON, MA 022415348 (Tel: 8002258885)

👤

Provider Name / Credentials Updated February 03, 2012

Recorded as ERIC COTTER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2012

Internal Medicine (License #46142 in MA)

🟢

Initial NPI Registration & Enumeration October 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Eric Cotter. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114013216

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 05, 2006

Last Update: October 28, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

Phone: 8002258885

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.