STANLEY MICHAEL NICKARZ MD
NPI 1497240188
Family Medicine in Du Bois, PA
About Stanley Michael Nickarz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STANLEY MICHAEL NICKARZ MD (NPI 1497240188) is an individual family medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (MD473184) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Howard University College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stanley Michael Nickarz 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.
Medicare Billing Reassignments
3Medicare enrollment records show Stanley Nickarz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Berkeley Springs, WV 25411
- Reassigned Medicare billing, West Virginia enrollment
- 158 clinicians in this Medicare group
Wheeling, WV 26003
- Reassigned Medicare billing, West Virginia enrollment
- 193 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, Virginia enrollment
- 371 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Winchester Medical Center
Acute Care Hospitals · Winchester, VAWarren Memorial Hospital
Acute Care Hospitals · Front Royal, VAShenandoah Memorial Hospital
Critical Access Hospitals · Woodstock, VAPage Memorial Hospital, Inc
Critical Access Hospitals · Luray, VAHampshire Memorial Hospital
Critical Access Hospitals · Romney, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Stanley Nickarz's NPI number?
The NPI number for Stanley Nickarz is 1497240188. It was assigned to this individual provider in the NPPES registry on June 26, 2018.
Where is Stanley Nickarz located?
Stanley Nickarz practices at 100 Hospital Ave, Du Bois, PA 15801. The listed phone number is (814) 371-2200.
What is Stanley Nickarz's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Stanley Nickarz enrolled in Medicare?
Yes. Stanley Nickarz 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.
Which organizations bill Medicare for Stanley Nickarz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stanley Nickarz reassigns Medicare benefits to 3 organizations: War Memorial Hospital, Inc. (Berkeley Springs, WV), Hospitalist Medicine Physicians Of West Virginia, PLLC (Wheeling, WV) and Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stanley Nickarz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stanley Nickarz accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia and Peak Health Insurance list Stanley Nickarz 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 Stanley Nickarz affiliated with any hospitals?
According to CMS data, Stanley Nickarz is affiliated with Winchester Medical Center, Warren Memorial Hospital, Shenandoah Memorial Hospital, Page Memorial Hospital, Inc and Hampshire Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Stanley Nickarz was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Stanley Michael Nickarz, MD · NPI 1497240188
Family Medicine physician in Du Bois, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 26, 2018.
## Identity
- **NPI:** 1497240188 (Entity type: Individual)
- **Enumerated:** June 26, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD473184 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 HOSPITAL AVE, Du Bois, PA 15801-1440
- **Phone:** (814) 371-2200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): War Memorial Hospital, Inc. (NPI 1013489541, Berkeley Springs, WV); Hospitalist Medicine Physicians Of West Virginia, PLLC (NPI 1649575101, Wheeling, WV); Hospitalist Medicine Physicians Of Virginia LLC (NPI 1770756991, Winchester, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Howard University College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** July 22, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497240188) · Data from the CMS NPPES public registry.