DR. ERIC M ELMQUIST DDS
NPI 1366642449
Dentist - General Practice in Superior, WI
NPI Status: Active since July 18, 2007
Contact Information
2222 E 5TH ST
SUPERIOR, WI
ZIP 54880
Phone: (715) 394-5411
Fax: (715) 392-5086
- Individual
- Male
- Dentist
- General Practice
- Accepts Insurance
- PECOS Enrolled
About ERIC ELMQUIST
This page provides the complete NPI Profile along with additional information for Eric Elmquist, a provider established in Superior, Wisconsin with a medical specialization in Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1366642449 assigned on July 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 6089 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1366642449
- Provider Name
- DR. ERIC M ELMQUIST DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2222 E 5TH ST SUPERIOR, WI 54880
- Location Phone
- (715) 394-5411
- Location Fax
- (715) 392-5086
- Mailing Address
- 2222 E 5TH ST SUPERIOR, WI 54880
- Mailing Phone
- (715) 395-5393
- Mailing Fax
- (715) 392-5086
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-18-2007
- Last Update Date
- 01-29-2024
- Code Navigator
A dentist like Eric Elmquist is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist General Practice
- Taxonomy Code
- 1223G0001X
- Type
- Dental Providers
- License No.
- 6089
- License State
- WI
- Taxonomy Description
- A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223G0001X | Dental Providers | Dentist | D11545 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Delta Dental Individual and Family High Plan - PPO
- Delta Dental Individual and Family Low Plan - PPO
- Delta Dental Individual and Family Low Plan Major - PPO
- Delta Dental PPO Plus Premier Family Plan High Option - PPO
- Delta Dental PPO Plus Premier Family Plan Low Option - PPO
- Humana Dental Smart Choice - PPO
- Humana Dental Smart Choice - High - PPO
- Humana Dental Smart Choice - Lite - PPO
- Humana Dental Smart Choice - Low - PPO
- Humana Dental Smart Choice Basic - PPO
- Humana Dental Smart Choice- Lite - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Eric Elmquist is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 54880 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. ERIC M ELMQUIST DDS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 6 | 6 | 6 | 4 | 2 | 4 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 12 | 6 | 12 | 4 | 4 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 2 + 6 + 1 + 2 + 4 + 4 + 4 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1366642449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124586961 | JACQUELYN K. LINDBERG LPC Individual | Counselor (Professional) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1427441104 | ANDREA NELSON MSW, LCSW Individual | Social Worker (Clinical) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1427539840 | MEGAN ERIIKA SHIPLEY LCSW Individual | Social Worker (Clinical) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1467993774 | KRISTIE HILLS LPCC, LPC Individual | Counselor (Mental Health) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1245988013 | MS. CRYSTAL M NORRIS SAC-IT Individual | Case Manager/Care Coordinator | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1093168866 | BLAIRE MARIE HYSJULIEN LCSW Individual | Social Worker (Clinical) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 395-5393 |
| 1417407586 | JESSICA HALVORSON RN Individual | Registered Nurse | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1003279332 | PENNY JO WALDUM RN Individual | Registered Nurse | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1043979354 | HOLLY WOODHULL RN Individual | Registered Nurse | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1417734336 | KRISTINE M SWAN MFT-IT Individual | Marriage & Family Therapist | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1427061464 | PEGGY A. POLLOCK RDH Individual | Dental Hygienist | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 394-5411 |
| 1487647723 | DR. JASON C. BRAMSTEDT DC Individual | Chiropractor | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1578137147 | HOLLY A THOMPSON SAC-IT Individual | Case Manager/Care Coordinator | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1629366968 | MR. AARON D PUST MSW, LICSW Individual | Social Worker (Clinical) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1629783428 | HEATHER P RANTALA RDH Individual | Dental Hygienist | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 394-5411 |
| 1770063273 | DR. MELVIN VARUGHESE DMD Individual | Dentist (General Practice) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1770551335 | DR. EMILY J ANDERSON MD Individual | Family Medicine | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1780383182 | ZOE KUNZE PA-C Individual | Physician Assistant | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1922726447 | SAMUEL CENTER RN Individual | Registered Nurse | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
| 1962997023 | DR. YIN CAO DMD Individual | Dentist (General Practice) | 2222 E 5TH ST SUPERIOR, WI 54880 (715) 392-1955 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366642449, enumerated in the NPI registry as an "individual" on July 18, 2007
The provider is located at 2222 E 5th St Superior, Wi 54880 and the phone number is (715) 394-5411
The provider's speciality is Dentist with taxonomy code 1223G0001X with a focus in General Practice
The provider might be accepting Accepts: Delta Dental of Wisconsin, Inc. and Humana. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 18, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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