NICHOLAS FUSSELL DPM
NPI 1619399540
Podiatrist - Foot & Ankle Surgery in Nashville, TN

Active since January 13, 2014PECOS EnrolledAccepts Medicare Assignment
96.99/100
CMS Quality Rating
310 25TH AVE N STE 204, NASHVILLE, TN 37203(615) 327-2200(615) 327-2842 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 15, 2024, Sep 21, 2016 (2 updates tracked since 2016).

About Nicholas Fussell Dpm NPPES

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

NICHOLAS FUSSELL DPM (NPI 1619399540) is an individual foot & ankle surgery provider in Nashville, Tennessee, licensed in Tennessee (797) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Ascension Saint Thomas Hospital, and is a graduate of College Of Podiatric Med And Surgery, Des Moines University (2012).

NPPES Registry Identity

NPI1619399540
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameNICHOLAS FUSSELLCredential: DPM
Location Address310 25TH AVE N STE 204Nashville, TN 37203-2492
Mailing Address3024 Business Park CirGoodlettsville, TN 37072-3132 · (615) 239-2018
Fax(615) 327-2842
Sole ProprietorNo
Medical School CMSCollege Of Podiatric Med And Surgery, Des Moines UniversityGraduated 2012
Enumeration DateJanuary 13, 2014
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
NPI 1619399540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TN · 797
310 25TH AVE N STE 204, Nashville, TN 37203

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

Nicholas Fussell 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 ID8820376163
PECOS Enrollment IDI20161020002054
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 12

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.
494 services182 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.
396 services185 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.
264 services130 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
177 services47 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
95 services14 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.
71 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Saint Thomas Hospital

Acute Care Hospitals · Nashville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440082
Location4220 Harding Rd, PO Box 380Nashville, TN 37205 · Davidson County
Emergency services Birthing friendly

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

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.

96.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
5 suppliers11 claims136 services$20.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Physician Assistant
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Podiatrist (Foot & Ankle Surgery)
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Physician Assistant
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Durable Medical Equipment & Medical Supplies
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Psychologist (Clinical)
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Counselor
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Social Worker (Clinical)
310 25TH AVE N STE 204
NASHVILLE, TN 37203
Counselor (Mental Health)
310 25TH AVE N STE 204
NASHVILLE, TN 37203

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 Fussell's NPI number?

The NPI number for Nicholas Fussell is 1619399540. It was assigned to this individual provider in the NPPES registry on January 13, 2014.

Where is Nicholas Fussell located?

Nicholas Fussell practices at 310 25th Ave N Ste 204, Nashville, TN 37203. The listed phone number is (615) 327-2200.

What is Nicholas Fussell's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Nicholas Fussell enrolled in Medicare?

Yes. Nicholas Fussell 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 Nicholas Fussell accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Nicholas Fussell 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 Nicholas Fussell affiliated with any hospitals?

According to CMS data, Nicholas Fussell is affiliated with Ascension Saint Thomas Hospital and Tristar Centennial Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Fussell was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.