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GRACE NIKLAS MD
NPI 1093740599
Internal Medicine in Hingham, MA

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
49.92/100
CMS Quality Rating
210 WHITING ST, SUITE 4, HINGHAM, MA 02043(781) 749-6131(781) 749-6167 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Niklas Md NPPES

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

GRACE NIKLAS MD (NPI 1093740599) is an individual internal medicine provider in Hingham, Massachusetts, licensed in Massachusetts (50515) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1093740599
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGRACE NIKLASCredential: MD
Location Address210 WHITING ST, SUITE 4Hingham, MA 02043-3724
Mailing Address210 Whiting St, Suite 4Hingham, MA 02043-3724 · (781) 749-6131 · Fax (781) 749-6167
Phone(781) 749-6131
Fax(781) 749-6167
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 12, 2006
Last NPPES UpdateDecember 5, 2007
✔ NPI 1093740599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MA · 50515
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.
210 WHITING ST, Hingham, MA 02043
Open in Google Maps ↗

Other Identifiers 3

Medicaid3000010MA
Medicare ID-Type UnspecifiedNCIJ03771
Medicare UPINA57119

Accepted Insurance

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

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

Grace Niklas Md 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 ID2163512831
PECOS Enrollment IDI20071218000443
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 5

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.

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.
429 services253 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
298 services207 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
238 services238 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.
162 services105 patients
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402
An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.
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.

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02043 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

49.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.31
Improvement Activities0
Cost59.32

Reported Quality Measures

Breast Cancer Screening
81%105 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers32 claims80 services$5.28 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers11 claims11 services$0.83 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers16 claims16 services$31.34 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers11 claims30 services$25.29 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers13 claims13 services$45.16 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$14.18 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 12

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

SAM KHAYAT DMD PC
Dentist (Prosthodontics)
210 WHITING ST, SUITE 1
HINGHAM, MA 02043
Plymouth County (781) 749-6050
DR. JOHN WILLIAM BURNS DDS MSD
Dentist (Prosthodontics)
210 WHITING ST, UNIT 1
HINGHAM, MA 02043
Plymouth County (781) 749-6050
AKOS BESZTERCZEY MD LLC
Psychoanalyst
210 WHITING ST, SUITE 5
HINGHAM, MA 02043
Plymouth County (339) 200-8033
PHOEBE FULTON TEARE LMHC
Counselor (Mental Health)
210 WHITING ST, SUITE 3
HINGHAM, MA 02043
Plymouth County (781) 704-7751
ROBERT M BECKHARDT M.D.
Psychiatry & Neurology (Psychiatry)
210 WHITING ST, SUITE 5
HINGHAM, MA 02043
Plymouth County (781) 740-1555
MS. MAUREEN MCGETTIGAN LICSW
Social Worker (Clinical)
210 WHITING ST, SUITE 3
HINGHAM, MA 02043
Plymouth County (781) 740-9044
MS. CAROLE MARSH LICSW
Social Worker (Clinical)
210 WHITING ST, STE 3
HINGHAM, MA 02043
Plymouth County (781) 254-9099
ALWAZZAN DMD MSC PC
Dentist (Prosthodontics)
210 WHITING ST
HINGHAM, MA 02043
Plymouth County (781) 749-6050

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 Grace Niklas's NPI number?

The NPI number for Grace Niklas is 1093740599. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Grace Niklas located?

Grace Niklas practices at 210 Whiting St Suite 4, Hingham, MA 02043. The listed phone number is (781) 749-6131.

What is Grace Niklas's specialty?

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

Is Grace Niklas enrolled in Medicare?

Yes. Grace Niklas 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.

What insurance does Grace Niklas accept?

Health plans from Anthem Blue Cross and Blue Shield list Grace Niklas 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 Grace Niklas affiliated with any hospitals?

According to CMS data, Grace Niklas is affiliated with South Shore Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Grace Niklas was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.