ETHAN NULTON D.O.
NPI 1356793897
Hospitalist in Jefferson Hills, PA
About Ethan Nulton D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN NULTON D.O. (NPI 1356793897) is an individual hospitalist provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (OS019964) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Nulton D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Ethan Nulton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clairton, PA 15025
- Reassigned Medicare billing, Pennsylvania enrollment
- 2,881 clinicians in this Medicare group
Philipsburg, PA 16866
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Lock Haven, PA 17745
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,405 clinicians in this Medicare group
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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mount Nittany Medical Center
Acute Care Hospitals · State College, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
JEFFERSON HILLS, PA 15025
JEFFERSON HILLS, PA 15025
JEFFERSON HILLS, PA 15025
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 Ethan Nulton's NPI number?
The NPI number for Ethan Nulton is 1356793897. It was assigned to this individual provider in the NPPES registry on July 8, 2016.
Where is Ethan Nulton located?
Ethan Nulton practices at 565 Coal Valley Rd, Jefferson Hills, PA 15025. The listed phone number is (412) 267-6810.
What is Ethan Nulton's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Ethan Nulton enrolled in Medicare?
Yes. Ethan Nulton 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.
Which organizations bill Medicare for Ethan Nulton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Nulton reassigns Medicare benefits to 3 organizations: Allegheny Clinic (Clairton, PA), Geisinger Clinic (Philipsburg, PA) and Geisinger-Hm Joint Venture, LLC (Lock Haven, PA). 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 Ethan Nulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Nulton accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Ethan Nulton 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 Ethan Nulton affiliated with any hospitals?
According to CMS data, Ethan Nulton is affiliated with Mount Nittany Medical Center.
When was this NPI record last updated?
The NPPES record for Ethan Nulton was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.
# Ethan Nulton, D.O. · NPI 1356793897
Hospitalist physician in Jefferson Hills, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 8, 2016.
## Identity
- **NPI:** 1356793897 (Entity type: Individual)
- **Enumerated:** July 8, 2016
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** OS019964 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 565 COAL VALLEY RD, Jefferson Hills, PA 15025-3703
- **Phone:** (412) 267-6810 · **Fax:** (412) 267-6817
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Allegheny Clinic (NPI 1417383498, Clairton, PA); Geisinger Clinic (NPI 1811948367, Philipsburg, PA); Geisinger-Hm Joint Venture, LLC (NPI 1427604222, Lock Haven, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2016
## Record status
- **NPPES last updated:** November 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1356793897) · Data from the CMS NPPES public registry.