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CARRIE NIEMAN
NPI 1245529684
Otolaryngology in Baltimore, MD

Active since April 06, 2011PECOS Enrolled
74.39/100
CMS Quality Rating
601 N CAROLINE ST FL 6, BALTIMORE, MD 21287(410) 955-1686 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carrie Nieman NPPES

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

CARRIE NIEMAN (NPI 1245529684) is an individual otolaryngology provider in Baltimore, Maryland, licensed in Maryland (N-550-108-564-396) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2011).

NPPES Registry Identity

NPI1245529684
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameCARRIE NIEMAN
Location Address601 N CAROLINE ST FL 6Baltimore, MD 21287-0006
Mailing Address601 N Caroline St Fl 6Baltimore, MD 21287-0006 · (410) 955-1686
Phone(410) 955-1686
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2011
Enumeration DateApril 6, 2011
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1245529684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MD · N-550-108-564-396✔ Licensed in IL · N550-1128-4750
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
601 N CAROLINE ST FL 6, Baltimore, MD 21287
Open in Google Maps ↗

Other Identifiers 2

OtherN550-1128-4750IL · State Driver License
OtherN-550-108-564-396MD · Driver's License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carrie Nieman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486802170
PECOS Enrollment IDI20180123002673, I20180417001390
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carrie Nieman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
0.9 mi
Urology
601 N CAROLINE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1295731966 (410) 955-5000
Johns Hopkins University
0.9 mi
Audiologist
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 43 clinicians in this Medicare group
NPI 1992951131 (410) 955-6153

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.

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.
65 services54 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.
47 services32 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
38 services33 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
35 services29 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
31 services29 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

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.

MR. JUAN R GARCIA JR. CCA
Anaplastologist
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (410) 955-8215
DR. COLLEEN KELLEHER ZENCZAK-MAGILL AU.D.
Audiologist
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (410) 955-6153
CAROLINE COLE
Student in an Organized Health Care Education/Training Program
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (443) 997-6467
DR. GABRIELLA SUMMA DMD
Dentist
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (410) 955-1080
DR. IRINI MARIA HANNA DDS
Dentist (General Practice)
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (410) 955-1932
MS. BRIGIT COREJ MA, CF-SLP
Speech-Language Pathologist
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (410) 955-5000
MR. STEVEN MICHAEL SWEET PA-C
Physician Assistant (Surgical)
601 N CAROLINE ST FL 6, JOHNS HOPKINS OUTPATIENT CENTER
BALTIMORE, MD 21287
Baltimore City (410) 502-9827
TIFFANY TONI
Student in an Organized Health Care Education/Training Program
601 N CAROLINE ST FL 6
BALTIMORE, MD 21287
Baltimore City (410) 955-1932

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 Carrie Nieman's NPI number?

The NPI number for Carrie Nieman is 1245529684. It was assigned to this individual provider in the NPPES registry on April 6, 2011.

Where is Carrie Nieman located?

Carrie Nieman practices at 601 N Caroline St Fl 6, Baltimore, MD 21287. The listed phone number is (410) 955-1686.

What is Carrie Nieman's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Carrie Nieman enrolled in Medicare?

Yes. Carrie Nieman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carrie Nieman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Nieman reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each 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 Carrie Nieman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Carrie Nieman affiliated with any hospitals?

According to CMS data, Carrie Nieman is affiliated with Johns Hopkins Hospital, The and Suburban Hospital.

When was this NPI record last updated?

The NPPES record for Carrie Nieman was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.