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DR. NICKOLINE M HATHAWAY MD
NPI 1629005749
Internal Medicine in Bishop, CA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
152 PIONEER LN, SUITE C, BISHOP, CA 93514(760) 873-7111 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nickoline M Hathaway Md NPPES

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

DR. NICKOLINE M HATHAWAY MD (NPI 1629005749) is an individual internal medicine provider in Bishop, California, licensed in California (G47705) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1984).

NPPES Registry Identity

NPI1629005749
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. NICKOLINE M HATHAWAYCredential: MD
Location Address152 PIONEER LN, SUITE CBishop, CA 93514-2563
Mailing Address152 Pioneer Ln, Suite CBishop, CA 93514-2563 · (760) 873-7111
Phone(760) 873-7111
Sole ProprietorNo
Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1984
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629005749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G47705
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
152 PIONEER LN, Bishop, CA 93514
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Other Identifiers 3

Medicaid00G477050CA
Medicare UPINA50785CA
Medicare ID-Type Unspecified00G477050CA

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

Dr. Nickoline M Hathaway Md 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 ID8628139391
PECOS Enrollment IDI20081212000728
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

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
46 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93514 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
91%810 patients3/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
0%336 patients1/55-star benchmark: 97%
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…
74%336 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%336 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
25%336 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers53 claims53 services$19.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers87 claims87 services$108.81 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 13

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

DR. ALICE ELAINE CASEY M.D.
Pediatrics
152 PIONEER LN, SUITE H
BISHOP, CA 93514
Mono County (760) 873-6373
DOLPHE SCOTT CLARK M.D.
Surgery
152 PIONEER LN, STE G
BISHOP, CA 93514
Mono County (760) 872-2244
DR. CONNOR L WILES MD
Surgery
152 PIONEER LN
BISHOP, CA 93514
Mono County (760) 872-1606
ROBBIN CROMER-TYLER MD
Surgery
152 PIONEER LN, SUITE F
BISHOP, CA 93514
Mono County (760) 872-1606
DR. MARK K. ROBINSON M.D.
Orthopaedic Surgery
152 PIONEER LN, SUITE A
BISHOP, CA 93514
Mono County (760) 873-2605
DR. ALBERT DOUGLAS WILL M.D.
Psychiatry & Neurology (Neurology)
152 PIONEER LN, SUITE A
BISHOP, CA 93514
Mono County (760) 873-2605
SPORTS MEDICINE AND REHAB THERAPY, INC.
Physical Therapist
152 PIONEER LN, SUITE D
BISHOP, CA 93514
Mono County (760) 873-8220
NORTHERN INYO ASSOCIATES
Clinic/Center
152 PIONEER LN, SUITE D
BISHOP, CA 93514
Mono County (760) 872-1606

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 Nickoline Hathaway's NPI number?

The NPI number for Nickoline Hathaway is 1629005749. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Nickoline Hathaway located?

Nickoline Hathaway practices at 152 Pioneer Ln Suite C, Bishop, CA 93514. The listed phone number is (760) 873-7111.

What is Nickoline Hathaway's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nickoline Hathaway enrolled in Medicare?

Yes. Nickoline Hathaway 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.

When was this NPI record last updated?

The NPPES record for Nickoline Hathaway was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.