MARIANNE R. NIKAS MD
NPI 1184683369
Family Medicine in Coatesville, PA

Q: What is Marianne Nikas's NPI number?

The NPI number for Marianne Nikas is 1184683369. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Q: What is Marianne Nikas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Marianne Nikas was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 17, 2006PECOS EnrolledAccepts Medicare Assignment

217 REECEVILLE RD, SUITE A, COATESVILLE, PA 19320(610) 269-9448(610) 594-2625 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 5, 2017 (2 updates tracked since 2017).

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About Marianne R. Nikas Md NPPES

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

MARIANNE R. NIKAS MD (NPI 1184683369) is an individual family medicine provider in Coatesville, Pennsylvania, licensed in Pennsylvania (MD070065L) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1997).

NPPES Registry Identity

NPI1184683369

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMARIANNE R. NIKASCredential: MD

Location Address217 REECEVILLE RD, SUITE ACoatesville, PA 19320-1572

Mailing Address412 Creamery Way, Suite 400Exton, PA 19341-2500 · (610) 594-7590 · Fax (610) 594-2625

Phone(610) 269-9448

Fax(610) 594-2625

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 1997

Enumeration DateMarch 17, 2006

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1184683369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD070065L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

217 REECEVILLE RD, Coatesville, PA 19320

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Other Identifiers 1

Medicaid001814784PA

Accepted Insurance

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

Marianne R. Nikas 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 ID7719172816

PECOS Enrollment IDI20110208000552

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 12

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.

562 services266 patients

Annual alcohol misuse screening, 5 to 15 minutes G0442

An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.

145 services145 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

145 services145 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.

144 services144 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

125 services123 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

78 services78 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

74 services74 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.

70 services53 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

34 services27 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.

20 services20 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

15 services15 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390111

Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19320 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

14 suppliers37 claims99 services$5.88 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers12 claims14 services$1.06 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

1 supplier28 claims28 services$12.54 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers21 claims21 services$2.89 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

1 supplier28 claims28 services$62.17 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

1 supplier17 claims3,514 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 8

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

COATESVILLE HOSPITAL CORPORATION

Obstetrics & Gynecology

217 REECEVILLE RD, STE A
COATESVILLE, PA 19320

Chester County (610) 383-9400

KENNETH D. GOLDBLUM MD

Internal Medicine

217 REECEVILLE RD, SUITE C
COATESVILLE, PA 19320

Chester County (610) 384-5110

COATESVILLE CLINIC COMPANY, LLC

Obstetrics & Gynecology

217 REECEVILLE RD, SUITE A
COATESVILLE, PA 19320

Chester County (610) 383-9400

MR. DREW EDWARD ROWAN M.D.

Family Medicine

217 REECEVILLE RD, SUITE A
COATESVILLE, PA 19320

Chester County (610) 269-9448

MARTHA J. CHAMPLIN CRNP

Nurse Practitioner (Adult Health)

217 REECEVILLE RD, SUITE A
COATESVILLE, PA 19320

Chester County (610) 269-9448

GEOFFREY M. BURGESS MD

Family Medicine

217 REECEVILLE RD, SUITE A
COATESVILLE, PA 19320

Chester County (610) 269-9448

COATESVILLE PEDIATRICS

Pediatrics

217 REECEVILLE RD, SUITE B
COATESVILLE, PA 19320

Chester County (610) 384-5437

ALPA M VADHER MD

Family Medicine

217 REECEVILLE RD, SUITE A
COATESVILLE, PA 19320

Chester County (610) 269-9448

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 Marianne Nikas's NPI number?

The NPI number for Marianne Nikas is 1184683369. It was assigned to this individual provider in the NPPES registry on March 17, 2006.

Where is Marianne Nikas located?

Marianne Nikas practices at 217 Reeceville Rd Suite A, Coatesville, PA 19320. The listed phone number is (610) 269-9448.

What is Marianne Nikas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Marianne Nikas enrolled in Medicare?

Yes. Marianne Nikas 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 Marianne Nikas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Marianne Nikas 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 Marianne Nikas affiliated with any hospitals?

According to CMS data, Marianne Nikas is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Paoli Hospital, Chester County Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Marianne Nikas was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.