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NICHOLAS TRUDO
NPI 1467938290
Physician Assistant in Joint Base Charleston, SC

Active since July 16, 2018PECOS EnrolledAccepts Medicare Assignment
70.05/100
CMS Quality Rating
204 W HILL BLVD, JOINT BASE CHARLESTON, SC 29404(843) 963-6880 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Jan 20, 2023, Jul 16, 2018 (3 updates tracked since 2018).

About Nicholas Trudo NPPES

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

NICHOLAS TRUDO (NPI 1467938290) is an individual physician assistant in Joint Base Charleston, South Carolina and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Roper St Francis Hospital-berkeley Inc, and is a graduate of University Of Nebraska College Of Medicine (2018).

NPPES Registry Identity

NPI1467938290
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS TRUDO
Location Address204 W HILL BLVDJoint Base Charleston, SC 29404-4704
Mailing Address204 W Hill BlvdJoint Base Charleston, SC 29404-4704 · (843) 963-6880
Phone(843) 963-6880
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2018
Enumeration DateJuly 16, 2018
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1467938290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
204 W HILL BLVD, Joint Base Charleston, SC 29404
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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 Trudo 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 ID6800263252
PECOS Enrollment IDI20221027003190
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.

Hospital Affiliations CMS Care Compare

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

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29404 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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.

70.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.22
Promoting Interoperability98
Improvement Activities40
Cost53.62

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.

UNITED STATES AIR FORCE
Clinic/Center
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Charleston County (843) 963-6936
MR. CHAD ROBERT WILLIAMS LCSW
Social Worker (Clinical)
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Charleston County (843) 963-6852
DR. CHANTELL RENEE MCKEE M.D.
Family Medicine
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Charleston County (843) 963-6880
THI NGUYEN
Pharmacist
204 W HILL BLVD, 628TH MEDICAL GROUP
CHARLESTON AFB, SC 29404
Charleston County (843) 963-6808
RONNIE LEE GODBOLT IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Charleston County (843) 963-6936
VIRGINIA BULLEMAN LISW-CP
Social Worker (Clinical)
204 W HILL BLVD
JOINT BASE CHARLESTON, SC 29404
Charleston County (843) 963-6880
SARA T HANSEN LISW-CP
Social Worker (Clinical)
204 W HILL BLVD
JOINT BASE CHARLESTON, SC 29404
Charleston County (843) 963-6880
DR. OSCAR ALEJANDRO LEYVA CAMACHO MD
Preventive Medicine (Aerospace Medicine)
204 W HILL BLVD
CHARLESTON AFB, SC 29404
Charleston County (843) 963-6722

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 Trudo's NPI number?

The NPI number for Nicholas Trudo is 1467938290. It was assigned to this individual provider in the NPPES registry on July 16, 2018.

Where is Nicholas Trudo located?

Nicholas Trudo practices at 204 W Hill Blvd, Joint Base Charleston, SC 29404. The listed phone number is (843) 963-6880.

What is Nicholas Trudo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Trudo enrolled in Medicare?

Yes. Nicholas Trudo 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 Trudo accept?

Health plans from Molina Healthcare list Nicholas Trudo 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 Nicholas Trudo affiliated with any hospitals?

According to CMS data, Nicholas Trudo is affiliated with Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Nicholas Trudo was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.