DR. NICHOLAS COSTAS PROEN P.T., D.P.T.
NPI 1205291705
Physical Therapist - Orthopedic in Fresno, CA
About Dr. Nicholas Costas Proen P.t., D.p.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS COSTAS PROEN P.T., D.P.T. (NPI 1205291705) is an individual orthopedic provider in Fresno, California, licensed in California (43401) and active in the NPI registry since December 2015. He is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Nicholas Costas Proen P.t., D.p.t. 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Proen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fresno, CA 93710
- Reassigned Medicare billing, California enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
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.
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.
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.
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 Proen's NPI number?
The NPI number for Nicholas Proen is 1205291705. It was assigned to this individual provider in the NPPES registry on December 28, 2015.
Where is Nicholas Proen located?
Nicholas Proen practices at 1700 E Bullard Ave Suite #102, Fresno, CA 93710. The listed phone number is (559) 438-8531.
What is Nicholas Proen's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.
Is Nicholas Proen enrolled in Medicare?
Yes. Nicholas Proen 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.
Which organization bills Medicare for Nicholas Proen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Proen reassigns Medicare benefits to Mcguire Physical Therapy, Inc. (Fresno, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Proen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicholas Proen was last updated on December 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Nicholas Costas Proen, P.T., D.P.T. · NPI 1205291705
Orthopedic provider in Fresno, California. Individual provider, active in the CMS NPPES registry since December 28, 2015.
## Identity
- **NPI:** 1205291705 (Entity type: Individual)
- **Enumerated:** December 28, 2015
- **Primary specialty:** Physical Therapist - Orthopedic · taxonomy 2251X0800X
- **State license:** 43401 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1700 E BULLARD AVE, SUITE #102, Fresno, CA 93710-5866
- **Phone:** (559) 438-8531
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Mcguire Physical Therapy, Inc. (NPI 1699860353, Fresno, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** December 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1205291705) · Data from the CMS NPPES public registry.