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NICHOLAS MONACO
NPI 1457404816
Internal Medicine - Nephrology in San Jose, CA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
83.56/100
CMS Quality Rating
105 N BASCOM AVE STE 202, SAN JOSE, CA 95128(415) 745-5665(408) 516-9377 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Oct 1, 2021, Apr 19, 2021 and 1 more (4 updates tracked since 2021).

About Nicholas Monaco NPPES

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

NICHOLAS MONACO (NPI 1457404816) is an individual nephrology provider in San Jose, California, licensed in California (A54966) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1457404816
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameNICHOLAS MONACO
Location Address105 N BASCOM AVE STE 202San Jose, CA 95128-1811
Mailing Address333 Santana Row Apt 237San Jose, CA 95128-2008 · (415) 745-5665 · Fax (408) 516-9377
Phone(415) 745-5665
Fax(408) 516-9377
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 21, 20234 updates tracked since enumeration
NPPES CertifiedJune 15, 2023
✔ NPI 1457404816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in CA · A54966✔ Licensed in AR · T2006-186
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
105 N BASCOM AVE STE 202, San Jose, CA 95128
Open in Google Maps ↗

Other Identifiers 1

Medicaid164697001AR

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 Monaco 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 ID7416051081
PECOS Enrollment IDI20120605000734, I20211013002874
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 6

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 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.
377 services140 patients
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.
237 services121 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
138 services131 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.
91 services90 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95128 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

83.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.75
Promoting Interoperability100
Improvement Activities40
Cost61.45

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$14.89 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$55.05 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 3

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

SHARAD DASS M.D.
Internal Medicine (Critical Care Medicine)
105 N BASCOM AVE STE 202
SAN JOSE, CA 95128
Santa Clara County (408) 993-1500
ADVANCED RESPIRATORY AND SLEEP
Specialist/Technologist, Other (Electroneurodiagnostic)
105 N BASCOM AVE STE 202
SAN JOSE, CA 95128
Santa Clara County (408) 993-1500
MARIA CARMINA CLARA POSADAS TONGSON FNP-C, RN
Nurse Practitioner (Family)
105 N BASCOM AVE STE 202
SAN JOSE, CA 95128
Santa Clara County (408) 993-1500

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 Monaco's NPI number?

The NPI number for Nicholas Monaco is 1457404816. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Nicholas Monaco located?

Nicholas Monaco practices at 105 N Bascom Ave Ste 202, San Jose, CA 95128. The listed phone number is (415) 745-5665.

What is Nicholas Monaco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nicholas Monaco enrolled in Medicare?

Yes. Nicholas Monaco 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 Nicholas Monaco was last updated on July 21, 2023. 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.