DR. DONTESE JAMINE NICHOLSON MD
NPI 1215180328
Pain Medicine - Interventional Pain Medicine in Baltimore, MD

Active since November 03, 2008PECOS EnrolledAccepts Medicare Assignment
87.38/100
CMS Quality Rating
6820 HOSPITAL DR, STE 302, BALTIMORE, MD 21237(410) 682-2823(410) 682-9551 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dontese Jamine Nicholson Md NPPES

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

DR. DONTESE JAMINE NICHOLSON MD (NPI 1215180328) is an individual interventional pain medicine provider in Baltimore, Maryland, licensed in Maryland (D0074632) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (2007).

NPPES Registry Identity

NPI1215180328
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameDR. DONTESE JAMINE NICHOLSONCredential: MD
Location Address6820 HOSPITAL DR, STE 302Baltimore, MD 21237-4352
Mailing Address11350 Mccormick Rd, Executive Plaza I, Suite 501Hunt Valley, MD 21031-1002 · (410) 682-2823 · Fax (410) 682-9551
Fax(410) 682-9551
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2007
Enumeration DateNovember 3, 2008
Last NPPES UpdateJune 18, 2021
NPPES CertifiedJune 18, 2021
NPI 1215180328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in MD · D0074632
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License D0074632 (MD)
6820 HOSPITAL DR, Baltimore, MD 21237

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. Dontese Jamine Nicholson 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 ID2365691250
PECOS Enrollment IDI20121010000137, I20240501002077
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 6

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 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.
76 services54 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.
75 services61 patients
Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
19 services19 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
15 services15 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
15 services15 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21237 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

87.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.51
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
88%536 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
62%297 patients3/55-star benchmark: 98%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
4%23 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
74%1,222 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
56%849 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
51%2,127 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 82% · 741 patients
Patients screened: 86% · 741 patients
76%154 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 94% · 741 patients
Patients screened: 95% · 741 patients
77%47 patients
Provide Patients Electronic Access to Their Health Information
95%610 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier36 claims36 services$56.21 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 11

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

Urology
6820 HOSPITAL DR, SUITE 210
BALTIMORE, MD 21237
Physician Assistant
6820 HOSPITAL DR, SUITE 210
BALTIMORE, MD 21237
Pain Medicine (Interventional Pain Medicine)
6820 HOSPITAL DR, SUITE302
BALTIMORE, MD 21237
Nurse Practitioner (Family)
6820 HOSPITAL DR, SUITE 302
BALTIMORE, MD 21237
Urology
6820 HOSPITAL DR, STE 210
BALTIMORE, MD 21237
Clinic/Center (Ambulatory Surgical)
6820 HOSPITAL DR, SUITE 302
BALTIMORE, MD 21237
Clinic/Center (Ambulatory Surgical)
6820 HOSPITAL DR, SUITE 200
BALTIMORE, MD 21237
Urology
6820 HOSPITAL DR, SUITE 210
BALTIMORE, MD 21237

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 Dontese Nicholson's NPI number?

The NPI number for Dontese Nicholson is 1215180328. It was assigned to this individual provider in the NPPES registry on November 3, 2008.

Where is Dontese Nicholson located?

Dontese Nicholson practices at 6820 Hospital Dr Ste 302, Baltimore, MD 21237. The listed phone number is (410) 682-2823.

What is Dontese Nicholson's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Dontese Nicholson enrolled in Medicare?

Yes. Dontese Nicholson 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.

When was this NPI record last updated?

The NPPES record for Dontese Nicholson was last updated on June 18, 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.