TIMOTHY NICHOLSON
NPI 1013091941
Internal Medicine in Burnt Hills, NY
About Timothy Nicholson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY NICHOLSON (NPI 1013091941) is an individual internal medicine provider in Burnt Hills, New York, licensed in New York (217445) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and is a graduate of Boston University School Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Timothy Nicholson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Timothy Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Latham, NY 12110
- Reassigned Medicare billing, New York enrollment
- 474 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 21
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Peter's Hospital
Acute Care Hospitals · Albany, NYSaratoga Hospital
Acute Care Hospitals · Saratoga Springs, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Timothy Nicholson's NPI number?
The NPI number for Timothy Nicholson is 1013091941. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Timothy Nicholson located?
Timothy Nicholson practices at 1184 State Route 50, Burnt Hills, NY 12019. The listed phone number is (518) 384-1281.
What is Timothy Nicholson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Timothy Nicholson enrolled in Medicare?
Yes. Timothy Nicholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Timothy Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Nicholson reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Timothy Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Timothy Nicholson affiliated with any hospitals?
According to CMS data, Timothy Nicholson is affiliated with St Peter's Hospital and Saratoga Hospital.
When was this NPI record last updated?
The NPPES record for Timothy Nicholson was last updated on February 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.