CHARLES J NICELY MD
NPI 1407858269
Pathology - Anatomic Pathology & Clinical Pathology in Columbus, OH

Active since August 11, 2005PECOS EnrolledAccepts Medicare Assignment
83.29/100
CMS Quality Rating
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-4945(614) 263-1056 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles J Nicely Md NPPES

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

CHARLES J NICELY MD (NPI 1407858269) is an individual anatomic pathology & clinical pathology provider in Columbus, Ohio, licensed in Ohio (35.065134) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1407858269
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameCHARLES J NICELYCredential: MD
Location Address3535 OLENTANGY RIVER RDColumbus, OH 43214-3908
Mailing AddressPo Box 20452, Corpath CredColumbus, OH 43220-0452 · (614) 457-8180 · Fax (614) 583-3300
Fax(614) 263-1056
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1988
Enumeration DateAugust 11, 2005
Last NPPES UpdateNovember 11, 2022
NPPES CertifiedNovember 11, 2022
NPI 1407858269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in OH · 35.065134
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
3535 OLENTANGY RIVER RD, Columbus, OH 43214

Other Identifiers 1

Medicaid0926136OH

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

Charles J Nicely 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 ID2567404643
PECOS Enrollment IDI20070312000320
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 22

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
411 services233 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
394 services87 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
302 services288 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
280 services266 patients
Blood smear interpretation by physician with written report 85060
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
167 services159 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
152 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360118
Location335 Glessner AvenueMansfield, OH 44903 · Richland County
Emergency services Birthing friendly

Dublin Methodist Hospital

Acute Care Hospitals · Dublin, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360348
Location7500 Hospital AvenueDublin, OH 43016 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43214 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

83.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.34
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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Physician Assistant
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Pathology (Anatomic Pathology & Clinical Pathology)
3535 OLENTANGY RIVER RD, RMH PATHOLOGY DEPT
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Nurse Anesthetist, Certified Registered
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Medicare Defined Swing Bed Unit
3535 OLENTANGY RIVER RD
COLUMBUS, OH 43214

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 Charles Nicely's NPI number?

The NPI number for Charles Nicely is 1407858269. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Charles Nicely located?

Charles Nicely practices at 3535 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-4945.

What is Charles Nicely's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Charles Nicely enrolled in Medicare?

Yes. Charles Nicely 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 Charles Nicely accept?

Health plans from CareSource list Charles Nicely 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.

Is Charles Nicely affiliated with any hospitals?

According to CMS data, Charles Nicely is affiliated with Riverside Methodist Hospital, Marion General Hospital, Grant Medical Center, Ohiohealth Mansfield Hospital and Dublin Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Charles Nicely was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.