Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STEPHEN J NICHOLAS MD
NPI 1528053550
Orthopaedic Surgery - Sports Medicine in Nyc, NY

Q: What is Stephen Nicholas's NPI number?

The NPI number for Stephen Nicholas is 1528053550. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Q: What is Stephen Nicholas's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Stephen Nicholas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.

Active since September 15, 2005PECOS Enrolled

73.68/100

CMS Quality Rating

130 E 77TH ST, 5TH FLOOR, NYC, NY 10021(212) 737-3301(212) 737-4876 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

On this page

About Stephen J Nicholas Md NPPES

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

STEPHEN J NICHOLAS MD (NPI 1528053550) is an individual sports medicine provider in Nyc, New York, licensed in New York (172648) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1528053550

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameSTEPHEN J NICHOLASCredential: MD

Location Address130 E 77TH ST, 5TH FLOORNyc, NY 10021-1851

Mailing Address130 E 77th St, 5th FloorNyc, NY 10021-1851 · (212) 737-3301 · Fax (212) 737-3301

Phone(212) 737-3301

Fax(212) 737-4876

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateSeptember 15, 2005

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1528053550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in NY · 172648

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 172648 (NY)

130 E 77TH ST, Nyc, NY 10021

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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

Stephen J Nicholas 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 ID9335130038

PECOS Enrollment IDI20040520001634, I20260518002509

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 26

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.

Hyaluronan or derivative, synojoynt, for intra-articular injection, 1 mg J7331

Hyaluronan, or Synojoynt, is a substance injected into your joint to help lubricate and cushion it. This can help relieve joint pain and improve mobility, particularly for conditions like arthritis. Each injection contains 1 mg of the substance.

6,721 services67 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,304 services648 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

646 services86 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

407 services190 patients

X-ray of knee, 1-2 views 73560

An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.

283 services221 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

269 services269 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

179 services132 patients

X-ray of pelvis, minimum of 3 views 72190

An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.

149 services129 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

108 services103 patients

Hyaluronan or derivative, gel-one, for intra-articular injection, per dose J7326

Hyaluronan or Gel-One is a substance injected directly into your joint space. It's aimed to supplement your body's natural joint fluid, helping to lubricate and cushion the joint, reducing pain and improving mobility. It's often used for arthritis relief.

106 services65 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

94 services80 patients

X-ray of hip, 1 view 73501

An X-ray of the hip, 1 view, is a quick, painless test where a small amount of radiation is used to produce images of the hip joint. This helps in diagnosing conditions like arthritis or fractures. You'll be positioned so that the X-ray machine can capture the best image of your hip.

65 services55 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

45 services45 patients

X-ray of ankle, minimum of 3 views 73610

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

40 services29 patients

X-ray of foot, minimum of 3 views 73630

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

40 services32 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

38 services26 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

36 services35 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

28 services26 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

16 services16 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

X-ray of wrist, 2 views 73100

An X-ray of the wrist, 2 views, is a diagnostic procedure where two different images of your wrist are taken using a small amount of radiation. This helps identify any abnormalities or injuries such as fractures or arthritis. It's a quick, non-invasive process.

15 services12 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

15 services15 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

14 services13 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

12 services11 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330101

Location525 East 68th StreetNew York, NY 10065 · New York County

Emergency services Birthing friendly

Lenox Hill Hospital

Acute Care Hospitals · New York, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330119

Location100 East 77th StreetNew York, NY 10021 · New York County

Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330270

Location535 East 70th StreetNew York, NY 10021 · New York County

Emergency services

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.

73.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

54.34

Promoting Interoperability

Improvement Activities

Cost

61.27

Reported Quality Measures

Advance Care Plan

45%997 patients2/55-star benchmark: 100%

Breast Cancer Screening

41%580 patients2/55-star benchmark: 93%

Cervical Cancer Screening

41%566 patients2/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

36%1,371 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

37%1,396 patients2/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

28%4,767 patients1/55-star benchmark: 100%

e-Prescribing

80%399 patients1/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

36%968 patients2/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

16%1,991 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 55% · 1,604 patients

Patients screened: 58% · 1,604 patients

3%36 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%1,075 patients4/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.02%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,016 patients

Patients totalRate: 0% · 1,016 patients

0%1,016 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. MICHAEL FRANK MICHELIS MD

Internal Medicine (Nephrology)

130 E 77TH ST
NEW YORK, NY 10021

New York County (212) 988-3506

LON STEVEN WEINER MD

Specialist

130 E 77TH ST
NEW YORK, NY 10021

New York County (212) 434-4880

ROCCO MICHAEL RACANELLI PA

Physician Assistant

130 E 77TH ST, 5TH FLOOR
NEW YORK, NY 10021

New York County (212) 737-3301

DR. NILESH U PATEL M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)

130 E 77TH ST, 4TH FL
NEW YORK, NY 10021

New York County (212) 434-3000

KRISHNA KATHIR MD

Internal Medicine (Cardiovascular Disease)

130 E 77TH ST, 9TH FLOOR
NEW YORK, NY 10021

New York County (212) 434-2606

DAVID M MATUSZ MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

130 E 77TH ST, 5TH FLOOR
NEW YORK, NY 10021

New York County (212) 737-3301

LARA S OBOLER MD

Internal Medicine (Cardiovascular Disease)

130 E 77TH ST, 9TH FLOOR
NEW YORK, NY 10021

New York County (212) 434-2606

CARLOS E RUIZ MD

Internal Medicine (Interventional Cardiology)

130 E 77TH ST
NEW YORK, NY 10021

New York County (212) 434-2606

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 Stephen Nicholas's NPI number?

The NPI number for Stephen Nicholas is 1528053550. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Stephen Nicholas located?

Stephen Nicholas practices at 130 E 77th St 5th Floor, Nyc, NY 10021. The listed phone number is (212) 737-3301.

What is Stephen Nicholas's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Stephen Nicholas enrolled in Medicare?

Yes. Stephen Nicholas 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.

Is Stephen Nicholas affiliated with any hospitals?

According to CMS data, Stephen Nicholas is affiliated with New York-Presbyterian Hospital, Lenox Hill Hospital and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Stephen Nicholas was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.