DR. NICOLE PROSCIA MD
NPI 1629245113
Radiology - Diagnostic Radiology in Wilmington, NC

Active since May 13, 2008PECOS EnrolledAccepts Medicare Assignment
80.29/100
CMS Quality Rating
1025 MEDICAL CENTER DR, WILMINGTON, NC 28401(910) 762-3882(910) 343-6019 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Proscia Md NPPES

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

DR. NICOLE PROSCIA MD (NPI 1629245113) is an individual diagnostic radiology provider in Wilmington, North Carolina, licensed in North Carolina (2007-00340) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, is affiliated with Novant Health New Hanover Regional Medical Center, and is a graduate of New York Medical College (2004).

NPPES Registry Identity

NPI1629245113
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. NICOLE PROSCIACredential: MD
Location Address1025 MEDICAL CENTER DRWilmington, NC 28401
Mailing Address1025 Medical Center DrWilmington, NC 28401-7354 · (910) 762-3882 · Fax (910) 343-6019
Fax(910) 343-6019
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2004
Enumeration DateMay 13, 2008
Last NPPES UpdateNovember 28, 2023
NPPES CertifiedNovember 28, 2023
NPI 1629245113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NC · 2007-00340
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1025 MEDICAL CENTER DR, Wilmington, NC 28401

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

Dr. Nicole Proscia 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 ID3173673043
PECOS Enrollment IDI20090615000682
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 17

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, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,550 services16 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
1,172 services1,172 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
1,172 services1,172 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
439 services439 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
439 services439 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
309 services298 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Pender Memorial Hospital

Critical Access Hospitals · Burgaw, NC
OwnershipGovernment - Local
CMS Certification Number341307
Location507 E Fremont StBurgaw, NC 28425 · Pender County
Emergency services

J Arthur Dosher Memorial Hospital

Critical Access Hospitals · Southport, NC
OwnershipVoluntary non-profit - Other
CMS Certification Number341327
Location924 Howe StSouthport, NC 28461 · Brunswick County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

80.29/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.07
Improvement Activities40
Cost43.34

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.

Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Physician Assistant
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Physician Assistant
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Physician Assistant
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401
Radiology (Diagnostic Radiology)
1025 MEDICAL CENTER DR
WILMINGTON, NC 28401

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 Proscia's NPI number?

The NPI number for Nicole Proscia is 1629245113. It was assigned to this individual provider in the NPPES registry on May 13, 2008.

Where is Nicole Proscia located?

Nicole Proscia practices at 1025 Medical Center Dr, Wilmington, NC 28401. The listed phone number is (910) 762-3882.

What is Nicole Proscia's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Nicole Proscia enrolled in Medicare?

Yes. Nicole Proscia 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 Proscia accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole Proscia 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 Proscia affiliated with any hospitals?

According to CMS data, Nicole Proscia is affiliated with Novant Health New Hanover Regional Medical Center, Pender Memorial Hospital and J Arthur Dosher Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Proscia was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.