npidexNPI registry + Medicare data

JAMES NICHOLSON, M.D.

Adult Reconstructive Orthopaedic Surgery Physician · EAST SETAUKET, NY

Individual Active NPI 1043251655

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20241,2725,024$7,963,900$921,896$731,571
20231,2874,699$7,742,139$909,556$712,274
20221,1954,553$7,707,530$925,401$723,986

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1,961$1$1
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more910$150$116
20610Aspiration and/or injection of fluid from large joint538$88$69
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more371$196$155
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more359$107$82
G0180Physician 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 and236$64$51
27447Replacement of knee joint, both sides of knee188$1,568$1,257
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose178$119$95
27130Replacement of thigh bone and hip joint with prosthesis120$1,578$1,263
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes23$199$153
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more22$67$52
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more13$132$105

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Adult Reconstructive Orthopaedic Surgery Physician207XS0114X✓236798NY

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.