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DR. DOROTHY MARY NICHOLSON M.D.
NPI 1033298138
Internal Medicine - Rheumatology in Alexandria, VA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
60/100
CMS Quality Rating
101 S WHITING ST, SUITE 105, ALEXANDRIA, VA 22304(703) 751-8804(703) 751-1218 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dorothy Mary Nicholson M.d. NPPES

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

DR. DOROTHY MARY NICHOLSON M.D. (NPI 1033298138) is an individual rheumatology provider in Alexandria, Virginia, licensed in Virginia (010137786) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Boston University School Of Medicine (1981).

NPPES Registry Identity

NPI1033298138
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. DOROTHY MARY NICHOLSONCredential: M.D.
Location Address101 S WHITING ST, SUITE 105Alexandria, VA 22304-3418
Mailing Address101 S Whiting St, Suite 105Alexandria, VA 22304-3418 · (703) 751-8804 · Fax (703) 751-1218
Phone(703) 751-8804
Fax(703) 751-1218
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1981
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1033298138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in VA · 010137786
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
101 S WHITING ST, Alexandria, VA 22304
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC88592
Medicaid5876257VA
Medicare ID-Type Unspecified00A712D30

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

Dr. Dorothy Mary Nicholson M.d. 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 ID8628248861
PECOS Enrollment IDI20111102000029
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 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
5,040 services48 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.
796 services347 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
236 services55 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
120 services23 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.
92 services92 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
48 services47 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490050
Location1701 North George Mason DriveArlington, VA 22205 · Arlington County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22304 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Improvement Activities40
Cost100

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
93%2,709 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%2,291 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
78%512 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
43%553 patients2/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%2,458 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%1,079 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
45%512 patients3/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 98% · 746 patients
99%746 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%1,079 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
26%1,079 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

RICHARD KE MING WANG DMD MD
Dentist (Oral and Maxillofacial Surgery)
101 S WHITING ST, SUITE 106
ALEXANDRIA, VA 22304
Alexandria City (703) 751-7841
MS. DEBRA A. RUSSO HOURI MS, CCN
Nutritionist
101 S WHITING ST, SUITE 208
ALEXANDRIA, VA 22304
Alexandria City (703) 485-6965
SYLVIA PUTTICK RODRIGUES OTR/L, CHT
Occupational Therapist (Hand)
101 S WHITING ST, SUITE 108
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0097
MA-LOWE HOME CARE AGENCY, INC
Home Health
101 S WHITING ST, 303
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4002
MS. CRYSTAL TELLECHEA
Specialist
101 S WHITING ST
ALEXANDRIA, VA 22304
Alexandria City (571) 527-0233
HARVEY SCHWARTZ M.D.
Internal Medicine (Rheumatology)
101 S WHITING ST, SUITE 105
ALEXANDRIA, VA 22304
Alexandria City (703) 751-8804
NOVA GYNECOLOGY ASSOCIATES LLC
Specialist
101 S WHITING ST, SUITE 215
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0550
MINH KHUE KATHERINE DANG DDS
Dentist (General Practice)
101 S WHITING ST, SUITE 100
ALEXANDRIA, VA 22304
Alexandria City (703) 751-3355

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 Dorothy Nicholson's NPI number?

The NPI number for Dorothy Nicholson is 1033298138. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Dorothy Nicholson located?

Dorothy Nicholson practices at 101 S Whiting St Suite 105, Alexandria, VA 22304. The listed phone number is (703) 751-8804.

What is Dorothy Nicholson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Dorothy Nicholson enrolled in Medicare?

Yes. Dorothy 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.

Is Dorothy Nicholson affiliated with any hospitals?

According to CMS data, Dorothy Nicholson is affiliated with Inova Alexandria Hospital, Virginia Hospital Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Dorothy Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.