NICHOLAS S. MCCUNE
NPI 1548846785
Nurse Practitioner - Family in Milford, OH

Q: What is Nicholas Mccune's NPI number?

The NPI number for Nicholas Mccune is 1548846785. It was assigned to this individual provider in the NPPES registry on March 18, 2021.

Q: What is Nicholas Mccune's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Mccune was last updated on June 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 18, 2021PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

1064 STATE ROUTE 28 STE F, MILFORD, OH 45150(513) 981-4050(513) 322-4859 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2024, Oct 13, 2022, Jun 2, 2021 and 1 more (4 updates tracked since 2021).

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About Nicholas S. Mccune NPPES

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

NICHOLAS S. MCCUNE (NPI 1548846785) is an individual family provider in Milford, Ohio, licensed in Ohio (APRN.CNP.0029029) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548846785

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameNICHOLAS S. MCCUNE

Location Address1064 STATE ROUTE 28 STE FMilford, OH 45150-4940

Mailing Address8350 Arbor Square DrMason, OH 45040-5000 · (513) 346-3399

Phone(513) 981-4050

Fax(513) 322-4859

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 18, 2021

Last NPPES UpdateJune 6, 20244 updates tracked since enumeration

NPPES CertifiedJune 6, 2024

✔ NPI 1548846785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OH · APRN.CNP.0029029✔ Licensed in KY · 3016185

1064 STATE ROUTE 28 STE F, Milford, OH 45150

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Secondary Practice Locations 2

Location 18350 Arbor Square DrMason, OH 45040-5000 · Phone (513) 346-3399

Location 2824 Main StMilford, OH 45150-1726 · Phone (513) 774-5606

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 S. Mccune 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 ID5092115386

PECOS Enrollment IDI20210608001179

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 7

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.

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.

137 services131 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.

72 services72 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.

60 services59 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

51 services49 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

48 services48 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.

34 services34 patients

Hospital Affiliations CMS Care Compare 3

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

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360134

Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County

Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Mercy Health - West Hospital

Acute Care Hospitals · Cincinnati, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360234

Location3300 Mercy Health BlvdCincinnati, OH 45211 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45150 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

90.38/100

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

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Maggi ***** April 7, 2024

5/5

I had a wonderful experience with this provider and the staff. They took excellent care of me.

Provider 5/5 Office Staff 5/5

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELE C SIMMS APRN,FNP-C

Nurse Practitioner (Family)