NICHOLAS PLACONE
NPI 1023513009
Internal Medicine - Gastroenterology in San Luis Obispo, CA

Q: What is Nicholas Placone's NPI number?

The NPI number for Nicholas Placone is 1023513009. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Nicholas Placone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Placone was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

1551 BISHOP ST STE 230, SAN LUIS OBISPO, CA 93401(805) 434-5530(805) 434-0023 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Jun 11, 2024, Mar 8, 2024 and 1 more (4 updates tracked since 2018).

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About Nicholas Placone NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS PLACONE (NPI 1023513009) is an individual gastroenterology provider in San Luis Obispo, California, licensed in California (A164390) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Medical College Of Wisconsin (2018).

NPPES Registry Identity

NPI1023513009

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNICHOLAS PLACONE

Location Address1551 BISHOP ST STE 230San Luis Obispo, CA 93401

Mailing Address1551 Bishop St Ste 230San Luis Obispo, CA 93401-4661 · (805) 434-5530 · Fax (805) 434-0023

Phone(805) 434-5530

Fax(805) 434-0023

Sole ProprietorYes

Medical School CMSMedical College Of WisconsinGraduated 2018

Enumeration DateMarch 29, 2018

Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1023513009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CA · A164390

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1551 BISHOP ST STE 230, San Luis Obispo, CA 93401

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Secondary Practice Locations 3

Location 1350 Posada Ln Ste 202Templeton, CA 93465 · Phone (805) 434-5530 · Fax (805) 434-0023

Location 2850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420 · Phone (805) 434-5530 · Fax (805) 434-0023

Location 34150 V St # 1100Sacramento, CA 95817-1460 · Phone (916) 734-2737

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Placone 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.

PECOS PAC ID3072941772

PECOS Enrollment IDI20240705003112

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

42 services42 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

40 services40 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

39 services39 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

35 services35 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

33 services33 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.73 typical visit price

range $59.84 – $178.89

Typical copayment $33.93 (range $14.96 – $44.72)

Most-billed visit code 99204

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANCE D RODGERS M.D.

Internal Medicine (Gastroenterology)