DR. NELSON NICOLASORA M.D.
NPI 1407974959
Internal Medicine - Infectious Disease in Toledo, OH

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment
88.44/100
CMS Quality Rating
2222 CHERRY ST, SUITE 1400, TOLEDO, OH 43608(419) 251-4787(419) 251-7817 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nelson Nicolasora M.d. NPPES

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

DR. NELSON NICOLASORA M.D. (NPI 1407974959) is an individual infectious disease provider in Toledo, Ohio, licensed in Ohio (35091813) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1407974959
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. NELSON NICOLASORACredential: M.D.
Location Address2222 CHERRY ST, SUITE 1400Toledo, OH 43608-2673
Mailing Address2222 Cherry St, Suite 1400Toledo, OH 43608-2673 · (419) 251-4787 · Fax (419) 251-7817
Fax(419) 251-7817
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMarch 26, 2007
Last NPPES UpdateOctober 17, 2012
NPI 1407974959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in OH · 35091813
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301088708 (MI)
2222 CHERRY ST, Toledo, OH 43608

Other Identifiers 2

Medicare PIN4241571
Medicaid2853907OH

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

Dr. Nelson Nicolasora 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 ID6709951247
PECOS Enrollment IDI20190304002751
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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
373 services79 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
365 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
86 services80 patients
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.
57 services41 patients
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.
14 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43608 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.

88.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities40
Cost59.36

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.

Nurse Practitioner (Family)
2222 CHERRY ST
TOLEDO, OH 43608
Nurse Practitioner (Pediatrics)
2222 CHERRY ST, SUITE 1800
TOLEDO, OH 43608
Social Worker (Clinical)
2222 CHERRY ST, SUITE 2800
TOLEDO, OH 43608
Nurse Practitioner (Family)
2222 CHERRY ST
TOLEDO, OH 43608
Internal Medicine (Pulmonary Disease)
2222 CHERRY ST
TOLEDO, OH 43608
Pathology (Anatomic Pathology & Clinical Pathology)
2222 CHERRY ST
TOLEDO, OH 43608
Internal Medicine (Infectious Disease)
2222 CHERRY ST, STE 1400
TOLEDO, OH 43608
Internal Medicine (Pulmonary Disease)
2222 CHERRY ST, SUITE 1400
TOLEDO, OH 43608

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 Nelson Nicolasora's NPI number?

The NPI number for Nelson Nicolasora is 1407974959. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Nelson Nicolasora located?

Nelson Nicolasora practices at 2222 Cherry St Suite 1400, Toledo, OH 43608. The listed phone number is (419) 251-4787.

What is Nelson Nicolasora's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nelson Nicolasora enrolled in Medicare?

Yes. Nelson Nicolasora 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 Nelson Nicolasora accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Nelson Nicolasora 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 Nelson Nicolasora was last updated on October 17, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.