2026 NPPES data Pain Medicine Physician NPI 1255691820 M.D.
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THEODORE ECKMAN, M.D.

Pain Medicine Physician in ERIE, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 392 beneficiaries · Pain Medicine Physician avg: 2K
Generic prescribing
98%
generic claims · 2% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$518.66
15 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

THEODORE ECKMAN, M.D. filed 2,355 Medicare Part D claims in 2023 as a Pain Medicine Physician in ERIE, Pennsylvania, prescribing 98% generic.

2K
Part D claims, 2023
98%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

THEODORE ECKMAN, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

2,355 Top 14% higher than 86% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2,000–2,200: 213,991 prescribers (16%). This entry sits in this band. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

THEODORE ECKMAN, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about THEODORE ECKMAN, M.D.?

Quality data not reported

NPI registry status

Active

Issued 05/17/2012

NPI 1255691820

Primary specialty

Pain Medicine Physician

Niche

951 US NPIs in this specialty

Medicare Part D claims

2,355 13% vs specialty avg

2023 prescription claims

Specialty avg: 2,078

Specialty distribution in Pennsylvania

How Pain Medicine Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Pain Medicine Physician share within Pennsylvania

1. Pain Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Pain Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pain Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Pain Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pain Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

THEODORE ECKMAN, M.D. appears in the CMS NPPES registry as a Pain Medicine Physician provider holding M.D. credentials at 1910 SASSAFRAS ST STE 300, ERIE, PA, 16502, with a listed phone of (814) 452-7246. NPI 1255691820 was issued on 05/17/2012. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ECKMAN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 2,355 prescription claims written by this provider, covering 392 Medicare beneficiaries and totaling roughly $84K in drug spend, split 2% brand-name and 98% generic by claim count, with an opioid prescribing rate of 47.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pain Medicine Physician is a narrow specialty nationwide, with 951 enrolled providers across 49 states and an average of 2,078 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1910 SASSAFRAS ST STE 300
ERIE, PA 16502

Provider Details

NPI 1255691820
Specialty Pain Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 05/17/2012

Hospital and facility affiliations

Facilities where THEODORE ECKMAN, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

ASHTABULA COUNTY MEDICAL CENTER
★★★☆☆ 3/5
ASHTABULA, OH
Acute Care Hospitals
CMS CCN: 360125

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for THEODORE ECKMAN, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$519

Largest payer

Medtronic, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to THEODORE ECKMAN, M.D.. To verify THEODORE ECKMAN, M.D.'s current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

THEODORE ECKMAN, M.D. — brand share 2.0%
Specialty average (est.)

2% brand-name claims vs 98% generic, on 2,355 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

2,355
Total Claims
$84K
Total Drug Cost
392
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,654
Total Day Supply
76,267
Brand vs Generic
2% brand / 98% generic
Brand Drug Cost
$10K
Generic Drug Cost
$74K
Opioid Claims
1,106 (47.0% rate)
Antibiotic Claims
22

Patient Demographics

Average Patient Age
68.6 years
Avg HCC Risk Score
1.83
Gender Split
61% female / 39% male
Age Distribution
<65: 120, 65-74: 154, 75-84: 87, 85+: 31

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What THEODORE ECKMAN, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Gabapentin
297
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
274
Tramadol Hcl
241
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
220
Oxycodone Hcl
194
Pregabalin
187
Duloxetine Hcl
128
Methocarbamol
95
Tizanidine Hcl
86
Nabumetone
80

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Pain Medicine Physician Overview

How THEODORE ECKMAN, M.D. fits within the Pain Medicine Physician landscape nationally.

951
Pain Medicine Physician Providers in US
49
States with Pain Medicine Physician
2,078
Avg Claims per Provider

THEODORE ECKMAN, M.D.'s 2,355 claims are above the specialty average of 2,078.

Nearby Pain Medicine Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as ECKMAN.

Compare Pain Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is THEODORE ECKMAN, M.D.'s specialty?
THEODORE ECKMAN, M.D. specializes in Pain Medicine Physician and practices in ERIE, Pennsylvania. Credentials: M.D..
How much does THEODORE ECKMAN, M.D. prescribe under Medicare Part D?
In 2023, THEODORE ECKMAN, M.D. wrote 2,355 Medicare Part D claims totaling $84K in drug costs for 392 beneficiaries.
Where is THEODORE ECKMAN, M.D. located?
THEODORE ECKMAN, M.D. is located at 1910 SASSAFRAS ST STE 300, ERIE, PA, 16502. Phone: (814) 452-7246.
What is THEODORE ECKMAN, M.D.'s NPI number?
THEODORE ECKMAN, M.D.'s National Provider Identifier (NPI) is 1255691820, issued on 05/17/2012.
Does THEODORE ECKMAN, M.D. prescribe more brand-name or generic drugs?
THEODORE ECKMAN, M.D.'s prescribing is 2% brand-name and 98% generic drugs by claim count, with $10K in brand drug costs.
Does THEODORE ECKMAN, M.D. prescribe opioids?
Yes, THEODORE ECKMAN, M.D. had 1,106 opioid claims in 2023 with an opioid prescribing rate of 47.0%.
How many Pain Medicine Physician providers are there in the US?
There are 951 Pain Medicine Physician providers across 49 states in the US. The average Pain Medicine Physician provider writes 2,078 Medicare Part D claims per year.
What drugs does THEODORE ECKMAN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, THEODORE ECKMAN, M.D.'s most frequently prescribed drugs include Gabapentin, Hydrocodone-Acetaminophen, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does THEODORE ECKMAN, M.D. accept Medicare?
THEODORE ECKMAN, M.D. appears in CMS Medicare data with 2,355 Part D claims and 392 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify THEODORE ECKMAN, M.D.'s credentials?
THEODORE ECKMAN, M.D.'s NPI is 1255691820 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology