NICHOLAS C MEXAS D.O.
NPI 1396743100
Internal Medicine in Myrtle Beach, SC

Active since July 14, 2005PECOS EnrolledAccepts Medicare Assignment
88.75/100
CMS Quality Rating
207 CHARTWELL CT, MYRTLE BEACH, SC 29588(843) 222-9038 Get Directions Write a Review

NPPES record last updated: February 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas C Mexas D.o. NPPES

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

NICHOLAS C MEXAS D.O. (NPI 1396743100) is an individual internal medicine provider in Myrtle Beach, South Carolina, licensed in South Carolina (0626) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of New England, College Of Osteo Medicine (1998).

NPPES Registry Identity

NPI1396743100
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICHOLAS C MEXASCredential: D.O.
Location Address207 CHARTWELL CTMyrtle Beach, SC 29588-7273
Mailing Address207 Chartwell CtMyrtle Beach, SC 29588 · (843) 222-9038
Sole ProprietorNo
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1998
Enumeration DateJuly 14, 2005
Last NPPES UpdateFebruary 28, 2017
NPI 1396743100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in SC · 0626
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
207 CHARTWELL CT, Myrtle Beach, SC 29588

Other Identifiers 3

Medicaid006264SC
Medicare PINH445505373SC
Medicare UPINH44550SC

Accepted 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

Nicholas C Mexas 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 ID3072830140
PECOS Enrollment IDI20150330001408
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 14

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
432 services149 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
353 services169 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
179 services172 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
173 services73 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
156 services82 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
127 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29588 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

88.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.9
Improvement Activities40
Cost65.95

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
11%35 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
48%98 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%118 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,561 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
79%302 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
0%371 patients1/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 77% · 293 patients
Patients screened: 84% · 293 patients
59%44 patients3/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 241 patients
Patients totalRate: 0% · 241 patients
0%241 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
3 suppliers24 claims1,138 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
6 suppliers97 claims4,304 services$0.36 avg. paid by Medicare
Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers28 claims229 services$20.38 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209
DME-Medical/Surgical Supplies · category DA023N
3 suppliers52 claims504 services$7.22 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
3 suppliers11 claims100 services$9.41 avg. paid by Medicare
Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216
DME-Medical/Surgical Supplies · category DA023N
2 suppliers35 claims6,720 services$0.04 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 6

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

Chiropractor
207 CHARTWELL CT
MYRTLE BEACH, SC 29588
Specialist
207 CHARTWELL CT
MYRTLE BEACH, SC 29588
Nurse Practitioner (Family)
207 CHARTWELL CT
MYRTLE BEACH, SC 29588
Internal Medicine
207 CHARTWELL CT
MYRTLE BEACH, SC 29588
Nurse Practitioner (Gerontology)
207 CHARTWELL CT
MYRTLE BEACH, SC 29588
Internal Medicine (Cardiovascular Disease)
207 CHARTWELL CT
MYRTLE BEACH, SC 29588

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 Mexas's NPI number?

The NPI number for Nicholas Mexas is 1396743100. It was assigned to this individual provider in the NPPES registry on July 14, 2005.

Where is Nicholas Mexas located?

Nicholas Mexas practices at 207 Chartwell Ct, Myrtle Beach, SC 29588. The listed phone number is (843) 222-9038.

What is Nicholas Mexas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nicholas Mexas enrolled in Medicare?

Yes. Nicholas Mexas 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 Mexas accept?

Health plans from BlueCross BlueShield of South Carolina list Nicholas Mexas 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.

When was this NPI record last updated?

The NPPES record for Nicholas Mexas was last updated on February 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.