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NICHOLAS NICHOLAS LALIOS DPM
NPI 1538693536
Podiatrist in Merrillville, IN

Active since April 17, 2017PECOS EnrolledAccepts Medicare Assignment
85.62/100
CMS Quality Rating
7800 MADISON ST, MERRILLVILLE, IN 46410(219) 808-0479 Get Directions Write a Review

NPPES record last updated: April 17, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Nicholas Lalios Dpm NPPES

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

NICHOLAS NICHOLAS LALIOS DPM (NPI 1538693536) is an individual podiatrist in Merrillville, Indiana, licensed in Indiana (07000734A) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and is a graduate of Kent State University College Of Podiatric Medicine (1990).

NPPES Registry Identity

NPI1538693536
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameNICHOLAS NICHOLAS LALIOSCredential: DPM
Location Address7800 MADISON STMerrillville, IN 46410-4615
Mailing Address7800 Madison StMerrillville, IN 46410-4615 · (219) 808-0479
Phone(219) 808-0479
Sole ProprietorYes
Medical School CMSKent State University College Of Podiatric MedicineGraduated 1990
Enumeration DateApril 17, 2017
✔ NPI 1538693536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in IN · 07000734A
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
7800 MADISON ST, Merrillville, IN 46410
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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

Nicholas Nicholas Lalios Dpm 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 ID840569679
PECOS Enrollment IDI20170710002515, I20230808002400
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Nicholas Lalios reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quality Podiatry Group, Ltd
46 mi
Podiatrist
9933 LAWLER AVE, SUITE 225
Skokie, IL 60077
  • Reassigned Medicare billing, Illinois enrollment
  • 15 clinicians in this Medicare group
NPI 1760585814 (312) 225-2444
In Stride Foot Clinic
59 mi
Podiatrist
1190 DRESDEN DR
Hoffman Estates, IL 60192
  • Reassigned Medicare billing, Illinois enrollment
NPI 1841727195 (708) 502-3856
Onhealthcare LLC
126 mi
Social Worker
8425 WOODFIELD CROSSING BLVD STE 100
Indianapolis, IN 46240
  • Reassigned Medicare billing, Indiana enrollment
  • 101 clinicians in this Medicare group
NPI 1114681681 (502) 244-2420
360care Services Of Al LLC
630 mi
Audiologist
150 S PERRY ST
Montgomery, AL 36104
  • Reassigned Medicare billing, Alabama enrollment
  • 34 clinicians in this Medicare group
NPI 1710493176 (502) 244-2441

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 11

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
487 services280 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
362 services187 patients
Trimming of dystrophic nails, any number G0127
Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.
331 services177 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
72 services60 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
63 services63 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
49 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

85.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.67
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
50%84 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%793 patients4/55-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.

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 Lalios's NPI number?

The NPI number for Nicholas Lalios is 1538693536. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Nicholas Lalios located?

Nicholas Lalios practices at 7800 Madison St, Merrillville, IN 46410. The listed phone number is (219) 808-0479.

What is Nicholas Lalios's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Nicholas Lalios enrolled in Medicare?

Yes. Nicholas Lalios 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 Nicholas Lalios's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Lalios reassigns Medicare benefits to 4 organizations: Quality Podiatry Group, Ltd (Skokie, IL), In Stride Foot Clinic (Hoffman Estates, IL), Onhealthcare LLC (Indianapolis, IN) and 360care Services Of Al LLC (Montgomery, AL). 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 Nicholas Lalios's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Lalios accept?

Health plans from Blue Cross and Blue Shield of Alabama list Nicholas Lalios 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.

When was this NPI record last updated?

The NPPES record for Nicholas Lalios was last updated on April 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.