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Active NPI 1568480366 Individual Practitioner Female Practitioner

Dr. Evelyn J Erickson , MD

Surgery - Plastic and Reconstructive Surgery • St Cloud, MN

Professional Overview & Biography Verified Profile Summary

Dr. Evelyn Erickson, MD is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in St Cloud, MN. Practice services are available at 3701 12TH ST N under active NPI credentials.

Frequently performed procedures and clinical services include prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3701 12th St N
Suite 100

St Cloud, MN 56303

Telephone 3202537257
Fax 3202512938
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in St Cloud, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.5 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
5 Specialists

Practicing in St Cloud, MN (38 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
35 16 $90.94 $31.91
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
22 22 $601.03 $211.22

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License MN 37346

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
145719500 (MN)
Commercial Insurance / Payer ID Ucare
111011
Commercial Insurance / Payer ID P-One
1006655
Commercial Insurance / Payer ID Bcbs
6T195ER
Commercial Insurance / Payer ID Metrahealth (Mpin)
249000019
Commercial Insurance / Payer ID Medica
1301024
Commercial Insurance / Payer ID New Ma Provider
145719500

Practice Associates & Co-Workers

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

14 Associated Practitioners
Dr. Henry Yang , MD

Plastic Surgery

NPI 1003863366

Doctor of Medicine (M.D.)

Dr. James Smith , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1033137849

Doctor of Medicine (M.D.)

Dr. Paul Schultz , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1053339861

Doctor of Medicine (M.D.)

Dr. John Houle , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1073531885

Doctor of Medicine (M.D.)

Dr. Liana Lugo , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1093954877

Doctor of Medicine (M.D.)

Roxanne Boser , NP-C

Nurse Practitioner - Family

NPI 1134558109

Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 29, 2010

Registered at 3701 12TH ST N, SUITE 100, ST CLOUD, MN 56303 (Tel: 3202537257)

📍
Updated Business Mailing Address November 29, 2010

Registered at 3701 12TH ST N, SUITE 100, ST CLOUD, MN 56303 (Tel: 3202537257)

👤
Provider Name / Credentials Updated November 29, 2010

Recorded as EVELYN ERICKSON, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2010

Surgery (License #37346 in MN)

🟢
Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568480366
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2006
Last Update: November 29, 2010
Sole Proprietor: No

Mailing Address

3701 12th St N, Suite 100

St Cloud, MN 56303

Phone: 3202537257

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.