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CHARLES C NICOLETTE MD
NPI 1255357323
Radiology - Diagnostic Radiology in Odessa, TX

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
83.13/100
CMS Quality Rating
500 W 4TH ST, ODESSA, TX 79761(469) 757-1000 Get Directions Write a Review

NPPES record last updated: September 25, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charles C Nicolette Md NPPES

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

CHARLES C NICOLETTE MD (NPI 1255357323) is an individual diagnostic radiology provider in Odessa, Texas, licensed in Texas (E3074) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Midland Memorial Hospital, and is a graduate of Ohio State University College Of Medicine (1964).

NPPES Registry Identity

NPI1255357323
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameCHARLES C NICOLETTECredential: MD
Location Address500 W 4TH STOdessa, TX 79761-5001
Mailing AddressPo Box 103Rockwall, TX 75087-0103
Phone(469) 757-1000
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1964
Enumeration DateJuly 14, 2006
Last NPPES UpdateSeptember 25, 2007
✔ NPI 1255357323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · E3074
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
500 W 4TH ST, Odessa, TX 79761
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC19905
Other8F4462TX · Medicare
MedicaidPENDINGTX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Sendero Health Plans, Local Nonprofit.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

Charles C Nicolette 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 ID8325093214
PECOS Enrollment IDI20050314000653
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 3

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
163 services138 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
38 services38 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Crescent Medical Center Lancaster

Acute Care Hospitals · Lancaster, TX
2/5 CMS rating
OwnershipPhysician
CMS Certification Number670090
Location2600 West Pleasant Run RoadLancaster, TX 75146 · Dallas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79761 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

83.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.16
Improvement Activities40

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.

BENEDICT CASTANARES NOVICIO CRNA
Nurse Anesthetist, Certified Registered
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2408
ALICIA G. FLETCHER ACNS-BC
Clinical Nurse Specialist (Adult Health)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2128
ASHLEY GOODGAME
Registered Nurse (Psychiatric/Mental Health)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 889-8908
ABHISHEK BHARI JAYADEVAPPA M.D.
Anesthesiology
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-4000
DR. BRUCE CARL BECKER II M.D.
Family Medicine
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-1059
ABIDEMI YEMISI ADENIRAN FNP
Nurse Practitioner (Family)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2401
JOSEPH F BRYAN M.D.
Anesthesiology
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-2401
JEFFERY M PINNOW M.D.
Emergency Medicine (Emergency Medical Services)
500 W 4TH ST
ODESSA, TX 79761
Ector County (432) 640-4000

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 Charles Nicolette's NPI number?

The NPI number for Charles Nicolette is 1255357323. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Charles Nicolette located?

Charles Nicolette practices at 500 W 4th St, Odessa, TX 79761. The listed phone number is (469) 757-1000.

What is Charles Nicolette's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Charles Nicolette enrolled in Medicare?

Yes. Charles Nicolette 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 Charles Nicolette accept?

Health plans from Blue Cross and Blue Shield of Texas and Sendero Health Plans, Local Nonprofit list Charles Nicolette 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 Charles Nicolette affiliated with any hospitals?

According to CMS data, Charles Nicolette is affiliated with Midland Memorial Hospital and Crescent Medical Center Lancaster.

When was this NPI record last updated?

The NPPES record for Charles Nicolette was last updated on September 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.