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DR. NICOLAS E MAKHOUL M.D.
NPI 1639109515
Family Medicine in Pleasant Hill, CA

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
401 GREGORY LN, SUITE 104, PLEASANT HILL, CA 94523(925) 682-2401(925) 674-4721 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicolas E Makhoul M.d. NPPES

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

DR. NICOLAS E MAKHOUL M.D. (NPI 1639109515) is an individual family medicine provider in Pleasant Hill, California, licensed in California (A61634) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1639109515
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NICOLAS E MAKHOULCredential: M.D.
Location Address401 GREGORY LN, SUITE 104Pleasant Hill, CA 94523-2800
Mailing AddressDept 34929, P,o. 39000San Francisco, CA 94139-0001 · (925) 952-2828 · Fax (925) 952-2850
Phone(925) 682-2401
Fax(925) 674-4721
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995
Enumeration DateJuly 4, 2006
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1639109515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A61634
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
401 GREGORY LN, Pleasant Hill, CA 94523
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Other Identifiers 1

Medicaid00A616340CA

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. Nicolas E Makhoul M.d. 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 ID7719087683
PECOS Enrollment IDI20070705000656
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 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 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.
286 services140 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
195 services156 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
152 services152 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
128 services128 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.
125 services80 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
115 services115 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94523 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers13 claims27 services$4.94 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers12 claims12 services$40.73 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$12.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers15 claims90 services$1.71 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
3 suppliers11 claims11 services$10.93 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims4,462 services$0.32 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 18

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

KENNETH JOSEPH FRAGA DDS
Dentist (General Practice)
401 GREGORY LN, #222
PLEASANT HILL, CA 94523
Contra Costa County (925) 687-0343
DR. RAVINDER S HUNDAL M.D.
Family Medicine
401 GREGORY LN, SUITE 104
PLEASANT HILL, CA 94523
Contra Costa County (925) 682-2401
DR. KEVIN T DOWD DDS
Dentist (General Practice)
401 GREGORY LN, SUITE #112
PLEASANT HILL, CA 94523
Contra Costa County (925) 680-6700
BAY AREA SURGICAL ASSOCIATES, INC
Surgery
401 GREGORY LN, STE 204
PLEASANT HILL, CA 94523
Contra Costa County (925) 798-4606
DR. EILEEN I-CHUN CHENG O.D.
Optometrist
401 GREGORY LN, SUITE 110
PLEASANT HILL, CA 94523
Contra Costa County (925) 687-7638
DR. YEN THI VU DDS
Dentist (General Practice)
401 GREGORY LN, SUITE # 226
PLEASANT HILL, CA 94523
Contra Costa County (925) 689-4404
DR. JEAN YOUNG-YUM KIM D.D.S.
Dentist
401 GREGORY LN
PLEASANT HILL, CA 94523
Contra Costa County (925) 689-1020
DR. KEVIN JUE DONG O.D.
Optometrist
401 GREGORY LN, SUITE 110
PLEASANT HILL, CA 94523
Contra Costa County (925) 687-7638

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 Nicolas Makhoul's NPI number?

The NPI number for Nicolas Makhoul is 1639109515. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Nicolas Makhoul located?

Nicolas Makhoul practices at 401 Gregory Ln Suite 104, Pleasant Hill, CA 94523. The listed phone number is (925) 682-2401.

What is Nicolas Makhoul's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicolas Makhoul enrolled in Medicare?

Yes. Nicolas Makhoul 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 Nicolas Makhoul was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.