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NIKKOLE MARIE HAINES MD
NPI 1598055329
Orthopaedic Surgery in Hershey, PA

Active since April 13, 2011PECOS Enrolled
71.78/100
CMS Quality Rating
30 HOPE DR STE 2400, HERSHEY, PA 17033(800) 243-1455 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2025, Feb 4, 2019 (2 updates tracked since 2019).

About Nikkole Marie Haines Md NPPES

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

NIKKOLE MARIE HAINES MD (NPI 1598055329) is an individual orthopaedic surgery provider in Hershey, Pennsylvania, licensed in Pennsylvania (MD464890) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1598055329
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameNIKKOLE MARIE HAINESCredential: MD
Location Address30 HOPE DR STE 2400Hershey, PA 17033-2036
Mailing AddressPo Box 858, A410Hershey, PA 17033-0858 · (800) 243-1455
Phone(800) 243-1455
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2011
Enumeration DateApril 13, 2011
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1598055329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD464890
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 2025-00427 (NC)
30 HOPE DR STE 2400, Hershey, PA 17033
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Secondary Practice Location 1

Location 13030 Randolph Rd Ste 105Charlotte, NC 28211-1365 · Phone (704) 863-4878

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikkole Marie Haines Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739458274
PECOS Enrollment IDI20250501001731
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

2

Medicare enrollment records show Nikkole Haines reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carolinas Physicians Network Inc
382 mi
Family Medicine
340 JAKE ALEXANDER BLVD W, STE 105
Salisbury, NC 28147
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,057 clinicians in this Medicare group
NPI 1477814622 (704) 403-6240
Carolinas Medical Center
398 mi
Obstetrics & Gynecology
200 MEDICAL PARK DR, STE 250
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,223 clinicians in this Medicare group
NPI 1467790055 (704) 403-6350

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 10

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.
56 services49 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.
38 services34 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.
34 services30 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.
27 services23 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.
25 services22 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Reported Quality Measures

Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%20 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%24 patients
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.

JOHN SPENCE REID MD
Surgery (Trauma Surgery)
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
MRS. REGAN KESSLER PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (800) 243-1455
LAUREN M MILLER PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
MATTHEW GERARD LEEN PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-7123
NATHAN SCOTT LANHAM MD
Orthopaedic Surgery
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
PAUL J JULIANO MD
Orthopaedic Surgery
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638
JANEL LYNN MAGUIRE PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (800) 243-1455
KARYN DIANE MILLER PA-C
Physician Assistant
30 HOPE DR STE 2400
HERSHEY, PA 17033
Dauphin County (717) 531-5638

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 Nikkole Haines's NPI number?

The NPI number for Nikkole Haines is 1598055329. It was assigned to this individual provider in the NPPES registry on April 13, 2011.

Where is Nikkole Haines located?

Nikkole Haines practices at 30 Hope Dr Ste 2400, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Nikkole Haines's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nikkole Haines enrolled in Medicare?

Yes. Nikkole Haines is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nikkole Haines's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nikkole Haines reassigns Medicare benefits to 2 organizations: Carolinas Physicians Network Inc (Salisbury, NC) and Carolinas Medical Center (Concord, NC). 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 Nikkole Haines's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nikkole Haines accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Nikkole Haines 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 Nikkole Haines affiliated with any hospitals?

According to CMS data, Nikkole Haines is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Nikkole Haines was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.