NICHOLAS TSAMPARLIS MD
NPI 1164515383
Internal Medicine in Danbury, CT

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
100 RESERVE RD, DANBURY, CT 06810(203) 794-1979 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicholas Tsamparlis Md NPPES

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

NICHOLAS TSAMPARLIS MD (NPI 1164515383) is an individual internal medicine provider in Danbury, Connecticut, licensed in Connecticut (52687) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1164515383
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS TSAMPARLISCredential: MD
Location Address100 RESERVE RDDanbury, CT 06810-5267
Mailing Address100 Reserve RdDanbury, CT 06810-5267 · (203) 794-1979
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
NPI 1164515383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CT · 52687
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.

100 RESERVE RD, Danbury, CT 06810

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 Tsamparlis 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 ID4385667765
PECOS Enrollment IDI20210302000111
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 3

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 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.
148 services103 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.
50 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Behavior Analyst
100 RESERVE RD
DANBURY, CT 06810
Pharmacist (Ambulatory Care)
100 RESERVE RD
DANBURY, CT 06810
Pharmacist
100 RESERVE RD
DANBURY, CT 06810
Clinic/Center (Adult Mental Health)
100 RESERVE RD
DANBURY, CT 06810

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 Tsamparlis's NPI number?

The NPI number for Nicholas Tsamparlis is 1164515383. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Nicholas Tsamparlis located?

Nicholas Tsamparlis practices at 100 Reserve Rd, Danbury, CT 06810. The listed phone number is (203) 794-1979.

What is Nicholas Tsamparlis's specialty?

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

Is Nicholas Tsamparlis enrolled in Medicare?

Yes. Nicholas Tsamparlis 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.

When was this NPI record last updated?

The NPPES record for Nicholas Tsamparlis was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.