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NICOLE M BURGBACHER P.A.
NPI 1619908381
Physician Assistant in Dayton, OH

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.2/100
CMS Quality Rating
4160 LITTLE YORK RD, SUITE 10, DAYTON, OH 45414(937) 415-9100(937) 415-9191 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole M Burgbacher P.a. NPPES

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

NICOLE M BURGBACHER P.A. (NPI 1619908381) is an individual physician assistant in Dayton, Ohio, licensed in Ohio (50002158) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Wilson Memorial Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1619908381
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE M BURGBACHERCredential: P.A.
Location Address4160 LITTLE YORK RD, SUITE 10Dayton, OH 45414-5800
Mailing AddressPo Box 713130Cincinnati, OH 45271-0001 · (937) 415-9100 · Fax (937) 415-9191
Phone(937) 415-9100
Fax(937) 415-9191
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 5, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1619908381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50002158
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4160 LITTLE YORK RD, Dayton, OH 45414
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Other Identifiers 4

Medicare UPINBUPA2340OH
Medicare PINPA23404OH
OtherP00822690OH · Rr Mcr
Medicare PINPA23403OH

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

Nicole M Burgbacher P.a. 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 ID3274500558
PECOS Enrollment IDI20040915000849
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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,760 services148 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.
429 services178 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
179 services40 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.
175 services146 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.
152 services124 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.
62 services60 patients

Hospital Affiliations CMS Care Compare

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

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45414 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
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

93.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability92
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.

Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
2 suppliers12 claims12 services$117.64 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 20

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

CAMILLE RAE BOWSHIER P.T.
Physical Therapist (Orthopedic)
4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100
ATIBA DIARRA JACKSON M.D.
Orthopaedic Surgery
4160 LITTLE YORK RD, STE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100
STEPHANIE JAE BUEHLER O.T.
Occupational Therapist
4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100
DR. TIMOTHY W HARMAN D.O.
Orthopaedic Surgery (Hand Surgery)
4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100
KELLY RONYAK OT
Occupational Therapist
4160 LITTLE YORK RD, SUITE 1
DAYTON, OH 45414
Montgomery County (937) 415-9100
HOLLY ANN WOLTERS P.A.
Physician Assistant
4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100
DR. GERARD M PAPP D.O.
Orthopaedic Surgery
4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100
RHONDA HOWARD OT
Occupational Therapist (Hand)
4160 LITTLE YORK RD, SUITE 10
DAYTON, OH 45414
Montgomery County (937) 415-9100

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 Nicole Burgbacher's NPI number?

The NPI number for Nicole Burgbacher is 1619908381. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Nicole Burgbacher located?

Nicole Burgbacher practices at 4160 Little York Rd Suite 10, Dayton, OH 45414. The listed phone number is (937) 415-9100.

What is Nicole Burgbacher's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Burgbacher enrolled in Medicare?

Yes. Nicole Burgbacher 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 Nicole Burgbacher accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare and 1 other insurer list Nicole Burgbacher 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 Nicole Burgbacher affiliated with any hospitals?

According to CMS data, Nicole Burgbacher is affiliated with Wilson Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Burgbacher was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.