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DR. NICHOLAS BISCONTI JR. MD
NPI 1346372828
Specialist in Canton, OH

Active since March 11, 2007PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
2600 SEVENTH ST SW, CANTON, OH 44710(330) 453-4300(330) 453-3617 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas Bisconti Jr. Md NPPES

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

DR. NICHOLAS BISCONTI JR. MD (NPI 1346372828) is an individual specialist in Canton, Ohio, licensed in Ohio (35054433) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Aultman Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1985).

NPPES Registry Identity

NPI1346372828
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. NICHOLAS BISCONTI JR.Credential: MD
Location Address2600 SEVENTH ST SWCanton, OH 44710-1709
Mailing AddressPo Box 80690Canton, OH 44708-0690 · (330) 363-7444 · Fax (330) 363-7770
Phone(330) 453-4300
Fax(330) 453-3617
Sole ProprietorYes
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1985
Enumeration DateMarch 11, 2007
Last NPPES UpdateJanuary 9, 2020
✔ NPI 1346372828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OH · 35054433
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2600 SEVENTH ST SW, Canton, OH 44710
Open in Google Maps ↗

Other Identifiers 1

Medicaid0787402OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Nicholas Bisconti Jr. 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 ID9830275700
PECOS Enrollment IDI20080318000869
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
76 services38 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.
60 services41 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 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.
32 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 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.
17 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Aultman Hospital

Acute Care Hospitals · Canton, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360084
Location2600 Sixth Street SWCanton, OH 44710 · Stark County
Emergency services Birthing friendly

Alliance Community Hospital

Acute Care Hospitals · Alliance, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360131
Location200 East State StreetAlliance, OH 44601 · Stark County
Emergency services

Aultman Orrville Hospital

Critical Access Hospitals · Orrville, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361323
Location832 South Main StreetOrrville, OH 44667 · Wayne County
Emergency services Birthing friendly

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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.1
Promoting Interoperability99
Improvement Activities40
Cost63.64

Other Providers at the Same Location NPPES

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

MR. CHARLES ALEXANDER KRIZMANICH LSW
Social Worker
2600 SEVENTH ST SW
CANTON, OH 44710
Stark County (330) 363-6242

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 Bisconti's NPI number?

The NPI number for Nicholas Bisconti is 1346372828. It was assigned to this individual provider in the NPPES registry on March 11, 2007.

Where is Nicholas Bisconti located?

Nicholas Bisconti practices at 2600 Seventh St SW, Canton, OH 44710. The listed phone number is (330) 453-4300.

What is Nicholas Bisconti's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nicholas Bisconti enrolled in Medicare?

Yes. Nicholas Bisconti 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 Nicholas Bisconti accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual list Nicholas Bisconti 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 Nicholas Bisconti affiliated with any hospitals?

According to CMS data, Nicholas Bisconti is affiliated with Aultman Hospital, Alliance Community Hospital and Aultman Orrville Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Bisconti was last updated on January 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.