ALLEN DANIEL NICHOLSON M.D.
NPI 1184002230
Orthopaedic Surgery in New Haven, CT

Active since May 09, 2015PECOS Enrolled
75/100
CMS Quality Rating
800 HOWARD AVE, YBP 133, YNHH DEPT OF ORTHOPEDICS, NEW HAVEN, CT 06519(203) 785-2579 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2021, Apr 21, 2021 (2 updates tracked since 2021).

About Allen Daniel Nicholson M.d. NPPES

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

ALLEN DANIEL NICHOLSON M.D. (NPI 1184002230) is an individual orthopaedic surgery provider in New Haven, Connecticut, licensed in New Jersey (25MA11115400) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Yale University School Of Medicine (2015).

NPPES Registry Identity

NPI1184002230
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameALLEN DANIEL NICHOLSONCredential: M.D.
Location Address800 HOWARD AVE, YBP 133, YNHH DEPT OF ORTHOPEDICSNew Haven, CT 06519-1369
Mailing Address776 Shrewsbury Ave Ste 201Tinton Falls, NJ 07724-4507 · (732) 530-4949
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2015
Enumeration DateMay 9, 2015
Last NPPES UpdateAugust 12, 20212 updates tracked since enumeration
NPPES CertifiedAugust 12, 2021
NPI 1184002230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NJ · 25MA11115400
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 301928 (NY)
800 HOWARD AVE, New Haven, CT 06519

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Allen Daniel Nicholson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214240282
PECOS Enrollment IDI20210820002795
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 19

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.
1,086 services285 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
679 services405 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.
468 services285 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.
427 services319 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.
349 services277 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.
103 services103 patients

Hospital Affiliations CMS Care Compare 5

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier19 claims19 services$102.24 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier13 claims13 services$61.03 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 20

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

Nurse Practitioner (Family)
800 HOWARD AVE
NEW HAVEN, CT 06519
Surgery
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Nurse Practitioner
800 HOWARD AVE
NEW HAVEN, CT 06519
Internal Medicine (Medical Oncology)
800 HOWARD AVE, YALE PHYSICIANS BUILDING - 2ND FLOOR
NEW HAVEN, CT 06519
Clinical Nurse Specialist (Gerontology)
800 HOWARD AVE
NEW HAVEN, CT 06519
Physical Medicine & Rehabilitation
800 HOWARD AVE
NEW HAVEN, CT 06519
Psychologist (Clinical Child & Adolescent)
800 HOWARD AVE, YALE PHYSICIANS BLDG
NEW HAVEN, CT 06519
Psychiatry & Neurology (Neuromuscular Medicine)
800 HOWARD AVE
NEW HAVEN, CT 06519

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 Allen Nicholson's NPI number?

The NPI number for Allen Nicholson is 1184002230. It was assigned to this individual provider in the NPPES registry on May 9, 2015.

Where is Allen Nicholson located?

Allen Nicholson practices at 800 Howard Ave Ybp 133, Ynhh Dept Of Orthopedics, New Haven, CT 06519. The listed phone number is (203) 785-2579.

What is Allen Nicholson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Allen Nicholson enrolled in Medicare?

Yes. Allen Nicholson is registered in the Medicare PECOS enrollment system.

Is Allen Nicholson affiliated with any hospitals?

According to CMS data, Allen Nicholson is affiliated with St Joseph's University Medical Center Inc, Riverview Medical Center, Ocean Medical Center, Jersey Shore University Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Allen Nicholson was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.