Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAMES NICHOLSON M.D.
NPI 1043251655
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in East Setauket, NY

Q: What is James Nicholson's NPI number?

The NPI number for James Nicholson is 1043251655. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is James Nicholson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Q: When was this NPI record last updated?

The NPPES record for James Nicholson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 June 08, 2006PECOS Enrolled

98.52/100

CMS Quality Rating

14 TECHNOLOGY DR, EAST SETAUKET, NY 11733(631) 444-4233 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. James Nicholson M.d. NPPES

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

DR. JAMES NICHOLSON M.D. (NPI 1043251655) is an individual adult reconstructive orthopaedic surgery provider in East Setauket, New York, licensed in New York (236798) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Drexel University College Of Medicine (1999).

NPPES Registry Identity

NPI1043251655

Entity TypeIndividualMale

Primary Taxonomy207XS0114X

Provider Legal NameDR. JAMES NICHOLSONCredential: M.D.

Location Address14 TECHNOLOGY DREast Setauket, NY 11733-3472

Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-4233

Phone(631) 444-4233

Sole ProprietorNo

Medical School CMSDrexel University College Of MedicineGraduated 1999

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1043251655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

License✔ Licensed in NY · 236798

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

14 TECHNOLOGY DR, East Setauket, NY 11733

Open in Google Maps ↗

Other Identifiers 3

Medicaid02681905NY

Other660G31NY · Empire Bc.bs

Other7333761NY · Aetna

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. James 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 ID7618941154

PECOS Enrollment IDI20050902000192

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 12

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, 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.

1,961 services277 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.

910 services716 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

538 services303 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.

371 services371 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

359 services312 patients

Physician 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 and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

236 services226 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

188 services179 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

178 services36 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

120 services118 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.

23 services23 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

22 services21 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

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.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

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 20

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

DR. NICHOLAS DIVARIS

Orthopaedic Surgery (Orthopaedic Trauma)

14 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4233

MARIA JOANA RIZZA RELEVO ROSAS PA-C

Physician Assistant

14 TECHNOLOGY DR, SUITE 11, 12, 15
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4233

NARDEEN MICKAIL MD

Internal Medicine

14 TECHNOLOGY DR, SUITE 10
EAST SETAUKET, NY 11733

Suffolk County (631) 689-5400

MS. JENNIFER CASTELLI P.A.

Physician Assistant

14 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4233

MEGAN CARROLL PAULUS M.D.

Orthopaedic Surgery (Foot and Ankle Surgery)

14 TECHNOLOGY DR, SUITE 11
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4233

DR. STEPHEN KOTTMEIER M.D.

Orthopaedic Surgery (Sports Medicine)

14 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4233

DR. STEVEN SAMPSON M.D.

Orthopaedic Surgery

14 TECHNOLOGY DR
EAST SETAUKET, NY 11733

Suffolk County (631) 444-4233

DR. JONATHAN ADAM KROHN M.D.

Internal Medicine (Infectious Disease)

14 TECHNOLOGY DR, SUITE 10
EAST SETAUKET, NY 11733

Suffolk County (631) 689-5400

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 James Nicholson's NPI number?

The NPI number for James Nicholson is 1043251655. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is James Nicholson located?

James Nicholson practices at 14 Technology Dr, East Setauket, NY 11733. The listed phone number is (631) 444-4233.

What is James Nicholson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is James Nicholson enrolled in Medicare?

Yes. James 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 James Nicholson affiliated with any hospitals?

According to CMS data, James Nicholson is affiliated with St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for James Nicholson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.