DR. COLTON MCNICHOLS MD
NPI 1396162624
Plastic Surgery in Baltimore, MD

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
601 N CAROLINE ST, JHOC 8152A, BALTIMORE, MD 21287(410) 502-7381 Get Directions Write a Review

NPPES record last updated: January 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Colton Mcnichols Md NPPES

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

DR. COLTON MCNICHOLS MD (NPI 1396162624) is an individual plastic surgery provider in Baltimore, Maryland, licensed in Maryland (D80857) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396162624
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. COLTON MCNICHOLSCredential: MD
Location Address601 N CAROLINE ST, JHOC 8152ABaltimore, MD 21287-0006
Mailing Address601 N Caroline St, Jhoc 8152aBaltimore, MD 21287-0006
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateJanuary 15, 2016
NPI 1396162624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in MD · D80857
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
601 N CAROLINE ST, Baltimore, MD 21287

Other Identifiers 1

OtherI20140708002042Medicare Pecos

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. Colton Mcnichols 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 ID2769607696
PECOS Enrollment IDI20231013002926
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 2

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.

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.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Pulmonary Disease)
601 N CAROLINE ST
BALTIMORE, MD 21287
Radiology (Diagnostic Radiology)
601 N CAROLINE ST
BALTIMORE, MD 21287
Speech-Language Pathologist
601 N CAROLINE ST
BALTIMORE, MD 21287
Dermatology
601 N CAROLINE ST
BALTIMORE, MD 21287
Nurse Practitioner (Adult Health)
601 N CAROLINE ST
BALTIMORE, MD 21287
Physician Assistant (Surgical)
601 N CAROLINE ST, #5263
BALTIMORE, MD 21287
Physician Assistant (Medical)
601 N CAROLINE ST
BALTIMORE, MD 21287
Orthopaedic Surgery (Hand Surgery)
601 N CAROLINE ST, RM 5210
BALTIMORE, MD 21287

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 Colton Mcnichols's NPI number?

The NPI number for Colton Mcnichols is 1396162624. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Colton Mcnichols located?

Colton Mcnichols practices at 601 N Caroline St Jhoc 8152A, Baltimore, MD 21287. The listed phone number is (410) 502-7381.

What is Colton Mcnichols's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Colton Mcnichols enrolled in Medicare?

Yes. Colton Mcnichols 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.

When was this NPI record last updated?

The NPPES record for Colton Mcnichols was last updated on January 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.