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ETHAN NULTON D.O.
NPI 1356793897
Hospitalist in Jefferson Hills, PA

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025(412) 267-6810(412) 267-6817 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Oct 7, 2020, Apr 30, 2019 (3 updates tracked since 2019).

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

NPI1356793897
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameETHAN NULTONCredential: D.O.
Location Address565 COAL VALLEY RDJefferson Hills, PA 15025-3703
Mailing Address565 Coal Valley RdJefferson Hills, PA 15025-3703 · (412) 267-6810 · Fax (412) 267-6817
Phone(412) 267-6810
Fax(412) 267-6817
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateJuly 8, 2016
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1356793897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in PA · OS019964
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License OT017160 (PA)
565 COAL VALLEY RD, Jefferson Hills, PA 15025
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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

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.

PECOS PAC ID547593907
PECOS Enrollment IDI20190618000670
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 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.

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.
219 services112 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services66 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
111 services108 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services31 patients

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, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre County
Emergency services Birthing friendly

Physician 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.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

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$67.65 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 20

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

ALYSSA L BERNSTEIN NP
Nurse Practitioner
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (860) 395-7848
JEFFERSON REGIONAL MEDICAL CENTER
Rehabilitation Unit
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 469-5000
MRS. VICTORIA L RILEY CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
EMILY PAIGE MCDOWELL CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
SANGEETA LAKSHMI KOMERALLY M.D
Hospitalist
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 267-6810
ADAM A BARONE CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000
MICHAEL BRADLEY SMALL DO
Hospitalist
565 COAL VALLEY RD
CLAIRTON, PA 15025
Allegheny County (412) 267-6810
MS. NICOLE MARIE DE GORTARI CRNA
Nurse Anesthetist, Certified Registered
565 COAL VALLEY RD
JEFFERSON HILLS, PA 15025
Allegheny County (412) 469-5000

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.

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 21 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.