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NICHOLAS K. MOLBY DO
NPI 1366835191
Family Medicine - Sports Medicine in Tacoma, WA

Active since March 18, 2015PECOS Enrolled
9040 JACKSON AVE, DEPARTMENT OF ORTHOPEDIC SURGERY / SPORTS MEDICINE, TACOMA, WA 98431(253) 968-1790 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2026, Nov 24, 2023, Sep 12, 2019 and 1 more (4 updates tracked since 2018).

About Nicholas K. Molby Do NPPES

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

NICHOLAS K. MOLBY DO (NPI 1366835191) is an individual sports medicine provider in Tacoma, Washington, licensed in Washington (OP61284760) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366835191
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameNICHOLAS K. MOLBYCredential: DO
Location Address9040 JACKSON AVE, DEPARTMENT OF ORTHOPEDIC SURGERY / SPORTS MEDICINETacoma, WA 98431-0001
Mailing Address9040 Jackson Ave, Department Of Orthopedic Surgery - Sports MedicineTacoma, WA 98431-0001 · (253) 968-1790
Phone(253) 968-1790
Sole ProprietorNo
Enumeration DateMarch 18, 2015
Last NPPES UpdateJuly 15, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1366835191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in WA · OP61284760
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
9040 JACKSON AVE, Tacoma, WA 98431
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Other Identifiers 1

Medicaid2212502WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas K. Molby Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Molby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sea Mar Community Health Centers
1.0 mi
Federally Qualified Health Center (FQHC)
14916 WASHINGTON AVE SW
Lakewood, WA 98498
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1801204078 (253) 280-9890

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98431 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Molby's NPI number?

The NPI number for Nicholas Molby is 1366835191. It was assigned to this individual provider in the NPPES registry on March 18, 2015.

Where is Nicholas Molby located?

Nicholas Molby practices at 9040 Jackson Ave Department Of Orthopedic Surgery / Sports Medicine, Tacoma, WA 98431. The listed phone number is (253) 968-1790.

What is Nicholas Molby's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Nicholas Molby enrolled in Medicare?

Yes. Nicholas Molby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Molby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Molby reassigns Medicare benefits to Sea Mar Community Health Centers (Lakewood, WA). The 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 Nicholas Molby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Molby was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.