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DR. ANTHONY JOHN NICOLAS M.D.
NPI 1407218571
Internal Medicine - Rheumatology in Pittsburgh, PA

Active since March 28, 2016PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3601 5TH AVE STE 2B, PITTSBURGH, PA 15213(412) 605-3924(412) 692-4313 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2021, Nov 2, 2019, Mar 28, 2016 (3 updates tracked since 2016).

About Dr. Anthony John Nicolas M.d. NPPES

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

DR. ANTHONY JOHN NICOLAS M.D. (NPI 1407218571) is an individual rheumatology provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD473332) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1407218571
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. ANTHONY JOHN NICOLASCredential: M.D.
Location Address3601 5TH AVE STE 2BPittsburgh, PA 15213-3403
Mailing Address3601 5th Ave Ste 2bPittsburgh, PA 15213-3403 · (412) 605-3924 · Fax (412) 692-4313
Phone(412) 605-3924
Fax(412) 692-4313
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 28, 2016
Last NPPES UpdateAugust 11, 20213 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1407218571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in PA · MD473332
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3601 5TH AVE STE 2B, Pittsburgh, PA 15213
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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

Dr. Anthony John Nicolas M.d. 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 ID3274828967
PECOS Enrollment IDI20210712000045
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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services38 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
24 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 8

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

DR. DANIELLA MUALLEM SCHWARTZ MD
Internal Medicine (Rheumatology)
3601 5TH AVE STE 2B
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
NIVEDITHA MOHAN
Internal Medicine (Rheumatology)
3601 5TH AVE STE 2B, SUITE 2B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
DR. VLADIMIR M LIARSKI MD, MSC
Internal Medicine (Rheumatology)
3601 5TH AVE STE 2B
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
LEIGH FRENO
Nurse Practitioner (Family)
3601 5TH AVE STE 2B, SUITE 2B FALK MEDICAL BUILDING
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
DR. ALSAYED OSMAN MD
Student in an Organized Health Care Education/Training Program
3601 5TH AVE STE 2B
PITTSBURGH, PA 15213
Allegheny County (412) 647-5815
RACHAEL ANNE GORDON MD, PHD
Internal Medicine (Rheumatology)
3601 5TH AVE STE 2B
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700
BENJAMIN HERBERT PLOTZ M.D.
Internal Medicine (Rheumatology)
3601 5TH AVE STE 2B
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
PETA-GAY AMIKA RICKETTS DO
Internal Medicine
3601 5TH AVE STE 2B
PITTSBURGH, PA 15213
Allegheny County (412) 647-6700

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 Anthony Nicolas's NPI number?

The NPI number for Anthony Nicolas is 1407218571. It was assigned to this individual provider in the NPPES registry on March 28, 2016.

Where is Anthony Nicolas located?

Anthony Nicolas practices at 3601 5th Ave Ste 2B, Pittsburgh, PA 15213. The listed phone number is (412) 605-3924.

What is Anthony Nicolas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Anthony Nicolas enrolled in Medicare?

Yes. Anthony Nicolas 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 Anthony Nicolas affiliated with any hospitals?

According to CMS data, Anthony Nicolas is affiliated with Upmc St Margaret, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Anthony Nicolas was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.