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DR. ANDREW STUART NICHOLSON M.D.
NPI 1295912665
Family Medicine in Gorham, ME

Active since January 28, 2008PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: July 7, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew Stuart Nicholson M.d. NPPES

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

DR. ANDREW STUART NICHOLSON M.D. (NPI 1295912665) is an individual family medicine provider in Gorham, Maine, licensed in Maine (MD15480) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Northern Light Health, and is a graduate of Howard University College Of Medicine (1995).

NPPES Registry Identity

NPI1295912665
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANDREW STUART NICHOLSONCredential: M.D.
Location Address130 MAIN STGorham, ME 04038-1319
Mailing Address130 Main StGorham, ME 04038-1319 · (207) 839-5551
Phone(207) 839-5551
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1995
Enumeration DateJanuary 28, 2008
Last NPPES UpdateJuly 7, 2015
✔ NPI 1295912665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in ME · MD15480
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.
130 MAIN ST, Gorham, ME 04038
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Other Identifiers 1

Medicare UPING16063ME

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. Andrew Stuart Nicholson M.d. 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 ID9133154164
PECOS Enrollment IDI20050928001190
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 5

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.
97 services42 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.
92 services50 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.
30 services30 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 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.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Light Health

Acute Care Hospitals · Portland, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number200008
Location144 State StreetPortland, ME 04101 · Cumberland County
Emergency services Birthing friendly

Maine Medical Center

Acute Care Hospitals · Portland, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200009
Location22 Bramhall StPortland, ME 04102 · Cumberland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04038 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 6

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
5 suppliers12 claims27 services$4.08 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 supplier12 claims12 services$91.22 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 claims1,380 services$0.02 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers16 claims2,430 services$0.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$35.53 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers25 claims25 services$18.72 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 2

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

DR. NICOLA ANTHONY ALBANESE DMD
Dentist (General Practice)
130 MAIN ST
GORHAM, ME 04038
Cumberland County (207) 839-4775
GORHAM PRIMARY CARE PC
Family Medicine
130 MAIN ST
GORHAM, ME 04038
Cumberland County (207) 839-5551

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 Andrew Nicholson's NPI number?

The NPI number for Andrew Nicholson is 1295912665. It was assigned to this individual provider in the NPPES registry on January 28, 2008.

Where is Andrew Nicholson located?

Andrew Nicholson practices at 130 Main St, Gorham, ME 04038. The listed phone number is (207) 839-5551.

What is Andrew Nicholson's specialty?

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

Is Andrew Nicholson enrolled in Medicare?

Yes. Andrew 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.

Is Andrew Nicholson affiliated with any hospitals?

According to CMS data, Andrew Nicholson is affiliated with Northern Light Health and Maine Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Nicholson was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.