STANLEY MICHAEL NICKARZ MD
NPI 1497240188
Family Medicine in Du Bois, PA

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
78.21/100
CMS Quality Rating
100 HOSPITAL AVE, DU BOIS, PA 15801(814) 371-2200 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2021, Jun 26, 2018 (2 updates tracked since 2018).

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

NPI1497240188
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTANLEY MICHAEL NICKARZCredential: MD
Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440
Mailing Address8117 Preston Rd Ste 800Dallas, TX 75225-6328
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2016
Enumeration DateJune 26, 2018
Last NPPES UpdateJuly 22, 20212 updates tracked since enumeration
NPPES CertifiedJuly 22, 2021
NPI 1497240188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in PA · MD473184 Licensed in IA · R11175
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 HOSPITAL AVE, Du Bois, PA 15801

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

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.

PECOS PAC ID1557605383
PECOS Enrollment IDI20240524003150, I20241218002741
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

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.

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.
147 services144 patients

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, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Warren Memorial Hospital

Acute Care Hospitals · Front Royal, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490033
Location351 Valley Health WayFront Royal, VA 22630 · Warren County
Emergency services

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number491305
Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County
Emergency services

Page Memorial Hospital, Inc

Critical Access Hospitals · Luray, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number491307
Location200 Memorial DriveLuray, VA 22835 · Page County
Emergency services

Valley Health War Memorial Hospital

Critical Access Hospitals · Berkeley Springs, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511309
Location1 Healthy WayBerkeley Springs, WV 25411 · Morgan County
Emergency services

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.17
Improvement Activities40
Cost56.29

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
100 HOSPITAL AVE
DU BOIS, PA 15801
Physician Assistant
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Family)
100 HOSPITAL AVE
DU BOIS, PA 15801
Radiology (Diagnostic Radiology)
100 HOSPITAL AVE
DU BOIS, PA 15801
Anesthesiology
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner
100 HOSPITAL AVE
DU BOIS, PA 15801
Registered Nurse
100 HOSPITAL AVE
DU BOIS, PA 15801
Nurse Practitioner (Gerontology)
100 HOSPITAL AVE
DU BOIS, PA 15801

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.

What insurance does Stanley Nickarz accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia 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 Valley Health War 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.