DR. NICHOLAS G PROIA MD
NPI 1174542294
Internal Medicine - Pulmonary Disease in Boardman, OH

Q: What is Nicholas Proia's NPI number?

The NPI number for Nicholas Proia is 1174542294. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Nicholas Proia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Proia was last updated on March 3, 2008. 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.

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment

49.91/100

CMS Quality Rating

8423 MARKET ST STE 100, BOARDMAN, OH 44512(330) 707-5864(330) 707-2210 Get Directions Write a Review

NPPES record last updated: March 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Nicholas G Proia Md NPPES

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

DR. NICHOLAS G PROIA MD (NPI 1174542294) is an individual pulmonary disease provider in Boardman, Ohio, licensed in Ohio (35054349) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1174542294

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. NICHOLAS G PROIACredential: MD

Location Address8423 MARKET ST STE 100Boardman, OH 44512-6778

Mailing Address8423 Market St Ste 100Boardman, OH 44512-6778 · (330) 707-5864 · Fax (330) 707-2210

Phone(330) 707-5864

Fax(330) 707-2210

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJuly 19, 2006

Last NPPES UpdateMarch 3, 2008

✔ NPI 1174542294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in OH · 35054349

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

8423 MARKET ST STE 100, Boardman, OH 44512

Open in Google Maps ↗

Other Identifiers 4

Medicare UPINE08281

Medicaid0738714OH

Other000000357308OH · Anthem Pin

Medicare ID-Type Unspecified0632708

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Nicholas G Proia 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 ID1456399575

PECOS Enrollment IDI20050513000074

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 9

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 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.

605 services189 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

195 services163 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

179 services126 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.

105 services37 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

47 services47 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

25 services25 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Salem Regional Medical Center

Acute Care Hospitals · Salem, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360185

Location1995 East State StreetSalem, OH 44460 · Columbiana County

Emergency services

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360276

Location8401 Market StreetBoardman, OH 44512 · Mahoning County

Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number360352

Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44512 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

49.91/100

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

Individually scored

Quality

Improvement Activities

Cost

29.7

Referred Medical Equipment & Supplies CMS DME claims 29

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

7 suppliers28 claims28 services$34.82 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers13 claims24 services$1.42 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

5 suppliers18 claims18 services$16.01 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

9 suppliers60 claims60 services$78.31 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers51 claims141 services$27.77 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers25 claims125 services$12.46 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

9 suppliers43 claims43 services$41.37 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers59 claims59 services$14.84 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

7 suppliers62 claims62 services$10.07 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

11 suppliers101 claims494 services$1.76 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

4 suppliers12 claims12 services$5.57 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

8 suppliers39 claims39 services$9.89 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers138 claims138 services$15.88 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

7 suppliers107 claims108 services$910.89 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers24 claims31 services$72.71 avg. paid by Medicare

High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each E0483

DME-Other DME · category DE000N

3 suppliers22 claims22 services$872.64 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

4 suppliers45 claims53 services$9.89 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

6 suppliers103 claims103 services$6.77 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

6 suppliers72 claims74 services$28.93 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

12 suppliers255 claims258 services$79.50 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

5 suppliers40 claims42 services$30.07 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

8 suppliers14 claims14 services$45.01 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

6 suppliers37 claims2,340 services$4.98 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

4 suppliers47 claims2,730 services$6.62 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

11 suppliers64 claims14,848 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

16 suppliers50 claims5,620 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

12 suppliers103 claims6,858 services$0.79 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$35.00 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

25 suppliers172 claims172 services$25.58 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

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

ASSOCIATES IN PULMONARY MEDICINE

Internal Medicine (Pulmonary Disease)

8423 MARKET ST STE 100
BOARDMAN, OH 44512

Mahoning County (330) 707-5864

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 Proia's NPI number?

The NPI number for Nicholas Proia is 1174542294. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Nicholas Proia located?

Nicholas Proia practices at 8423 Market St Ste 100, Boardman, OH 44512. The listed phone number is (330) 707-5864.

What is Nicholas Proia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Nicholas Proia enrolled in Medicare?

Yes. Nicholas Proia 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 Nicholas Proia accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Nicholas Proia 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 Proia affiliated with any hospitals?

According to CMS data, Nicholas Proia is affiliated with St Elizabeth Youngstown Hospital, Salem Regional Medical Center, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Nicholas Proia was last updated on March 3, 2008. 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.