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DR. NICHOLAS DODGE ALTMAN M.D.
NPI 1164659959
Emergency Medicine in Los Angeles, CA

Active since June 18, 2009PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
924 N FORMOSA AVE, LOS ANGELES, CA 90046(213) 925-7375 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nicholas Dodge Altman M.d. NPPES

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

DR. NICHOLAS DODGE ALTMAN M.D. (NPI 1164659959) is an individual emergency medicine provider in Los Angeles, California, licensed in New York (264170) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Samuel Mahelona Memorial Hospital, and is a graduate of New York University School Of Medicine (2009).

NPPES Registry Identity

NPI1164659959
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. NICHOLAS DODGE ALTMANCredential: M.D.
Location Address924 N FORMOSA AVELos Angeles, CA 90046-6702
Mailing Address20485 Callon DrTopanga, CA 90290-3709 · (213) 925-7375
Phone(213) 925-7375
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2009
Enumeration DateJune 18, 2009
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1164659959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 264170
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
924 N FORMOSA AVE, Los Angeles, CA 90046
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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. Nicholas Dodge Altman 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 ID648413633
PECOS Enrollment IDI20130823000120, I20160928001212
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
145 services142 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
65 services64 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
52 services52 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
28 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Samuel Mahelona Memorial Hospital

Critical Access Hospitals · Kapaa, HI
OwnershipGovernment - State
CMS Certification Number121306
Location4800 Kawaihau RoadKapaa, HI 96746 · Kauai County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90046 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Altman's NPI number?

The NPI number for Nicholas Altman is 1164659959. It was assigned to this individual provider in the NPPES registry on June 18, 2009.

Where is Nicholas Altman located?

Nicholas Altman practices at 924 N Formosa Ave, Los Angeles, CA 90046. The listed phone number is (213) 925-7375.

What is Nicholas Altman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Nicholas Altman enrolled in Medicare?

Yes. Nicholas Altman 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 Nicholas Altman affiliated with any hospitals?

According to CMS data, Nicholas Altman is affiliated with Samuel Mahelona Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Altman was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.