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DR. NICHOLAS MONACO M.D.
NPI 1033643572
Internal Medicine in Macon, GA

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
80.02/100
CMS Quality Rating
380 HOSPITAL DR, SUITE 430, MACON, GA 31217(478) 751-0366 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2023, Apr 11, 2017 (2 updates tracked since 2017).

About Dr. Nicholas Monaco M.d. NPPES

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

DR. NICHOLAS MONACO M.D. (NPI 1033643572) is an individual internal medicine provider in Macon, Georgia, licensed in Kansas (04-44476) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Menorah Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2016).

NPPES Registry Identity

NPI1033643572
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICHOLAS MONACOCredential: M.D.
Location Address380 HOSPITAL DR, SUITE 430Macon, GA 31217-8001
Mailing Address380 Hospital Dr, Suite 430Macon, GA 31217-8001 · (478) 751-0366
Phone(478) 751-0366
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2016
Enumeration DateApril 11, 2017
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1033643572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KS · 04-44476
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
380 HOSPITAL DR, Macon, GA 31217
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City.Insurance ›

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

Dr. Nicholas Monaco 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 ID7416283999
PECOS Enrollment IDI20210420002057, I20210421002113
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Monaco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kc Hospitalists, P.A.
746 mi
Hospitalist
5701 W 119TH ST, SUITE 135
Overland Park, KS 66209
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: Kc Hospitalists PA
  • 50 clinicians in this Medicare group
NPI 1922348069 (816) 268-9123

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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
366 services184 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
311 services133 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
163 services156 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
146 services92 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
44 services43 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Menorah Medical Center

Acute Care Hospitals · Overland Park, KS
3/5 CMS rating
OwnershipProprietary
CMS Certification Number170182
Location5721 West 119th StreetOverland Park, KS 66209 · Johnson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

80.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.41
Improvement Activities40
Cost59.79

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers14 claims14 services$13.73 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers14 claims14 services$62.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

VIRGINIA GARRISON CROUSE CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
ANDRES BRITO
Student in an Organized Health Care Education/Training Program
380 HOSPITAL DR
MACON, GA 31217
Bibb County (478) 751-0367
MR. KEATH L. MORGAN CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
KELLI SMITH CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
MONICA STEVENS-KIRBY LMFT
Marriage & Family Therapist
380 HOSPITAL DR, BLDG A STE 125
MACON, GA 31217
Bibb County (478) 745-8224
MR. RYAN C. WALLENTINE PA-AA
Anesthesiologist Assistant
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
MR. CHRISTOPHER M SPIVEY CRNA
Nurse Anesthetist, Certified Registered
380 HOSPITAL DR, SUITE 410
MACON, GA 31217
Bibb County (478) 746-5644
ROBERT J. PAREL II MD LLC
Surgery
380 HOSPITAL DR, BLDG A SUITE 370
MACON, GA 31217
Bibb County (478) 745-0711

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 Nicholas Monaco's NPI number?

The NPI number for Nicholas Monaco is 1033643572. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Nicholas Monaco located?

Nicholas Monaco practices at 380 Hospital Dr Suite 430, Macon, GA 31217. The listed phone number is (478) 751-0366.

What is Nicholas Monaco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Monaco enrolled in Medicare?

Yes. Nicholas Monaco 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 Nicholas Monaco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Monaco reassigns Medicare benefits to Kc Hospitalists, P.A. (Overland Park, KS). 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 Nicholas Monaco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Monaco accept?

Health plans from Blue Cross and Blue Shield of Kansas City list Nicholas Monaco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Monaco affiliated with any hospitals?

According to CMS data, Nicholas Monaco is affiliated with Menorah Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Monaco was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.