NICHOLAS DUGAN MD
NPI 1649617101
Surgery in Haymarket, VA

Q: What is Nicholas Dugan's NPI number?

The NPI number for Nicholas Dugan is 1649617101. It was assigned to this individual provider in the NPPES registry on May 23, 2013.

Q: What is Nicholas Dugan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Dugan was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 23, 2013PECOS EnrolledAccepts Medicare Assignment

15195 HEATHCOTE BLVD STE 330, HAYMARKET, VA 20169(571) 284-3110(571) 284-3119 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2021, Oct 26, 2020, Aug 27, 2019 and 19 more (22 updates tracked since 2018).

On this page

About Nicholas Dugan Md NPPES

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

NICHOLAS DUGAN MD (NPI 1649617101) is an individual surgery provider in Haymarket, Virginia, licensed in Connecticut (69317) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Eastern Virginia Medical School (2013).

NPPES Registry Identity

NPI1649617101

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameNICHOLAS DUGANCredential: MD

Location Address15195 HEATHCOTE BLVD STE 330Haymarket, VA 20169

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(571) 284-3110

Fax(571) 284-3119

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2013

Enumeration DateMay 23, 2013

Last NPPES UpdateSeptember 8, 202122 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2021

✔ NPI 1649617101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in CT · 69317✔ Licensed in NC · 2018-00276✔ Licensed in VA · 0101267191

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

15195 HEATHCOTE BLVD STE 330, Haymarket, VA 20169

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Secondary Practice Locations 3

Location 114214 Ballantyne Lake Rd, Ste 200Charlotte, NC 28277-3372 · Phone (704) 667-2681

Location 215195 Heathcote Blvd Ste 330Haymarket, VA 20169 · Phone (571) 284-3110 · Fax (571) 284-3119

Location 32 Trap Falls Rd Ste 100Shelton, CT 06484-4616 · Phone (203) 926-8835

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Dugan 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 ID42525420

PECOS Enrollment IDI20210914000133

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicholas Dugan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uva Community Health Medical Group, LLC

Same address

Cardiovascular Disease

15195 HEATHCOTE BLVD SUITE 338
Haymarket, VA 20169

Reassigned Medicare billing, Virginia enrollment
584 clinicians in this Medicare group

NPI 1194110445 (571) 284-1330

Hartford Healthcare Medical Group Specialists, PLLC

331 mi

Surgery

85 SEYMOUR ST STE 415
Hartford, CT 06106

Reassigned Medicare billing, Connecticut enrollment
1,921 clinicians in this Medicare group

NPI 1023584216 (860) 246-2071

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 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.

31 services25 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.

25 services23 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20169 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

Other Providers at the Same Location NPPES 4

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

IVORY LIRA RDN

Dietitian, Registered

15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169

Prince William County (571) 284-3380

UVA COMMUNITY HEALTH MEDICAL GROUP, LLC

Surgery

15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169

Prince William County (571) 284-3380

AARON NORMAN SACHS MD

Surgery

15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169

Prince William County (571) 284-3440

EMILY JACOBS RDN

Dietitian, Registered

15195 HEATHCOTE BLVD STE 330
HAYMARKET, VA 20169

Prince William County (571) 284-3380

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 Dugan's NPI number?

The NPI number for Nicholas Dugan is 1649617101. It was assigned to this individual provider in the NPPES registry on May 23, 2013.

Where is Nicholas Dugan located?

Nicholas Dugan practices at 15195 Heathcote Blvd Ste 330, Haymarket, VA 20169. The listed phone number is (571) 284-3110.

What is Nicholas Dugan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nicholas Dugan enrolled in Medicare?

Yes. Nicholas Dugan 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.

Which organizations bill Medicare for Nicholas Dugan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Dugan reassigns Medicare benefits to 2 organizations: Uva Community Health Medical Group, LLC (Haymarket, VA) and Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Dugan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Dugan accept?

Health plans from Anthem Blue Cross and Blue Shield list Nicholas Dugan 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.

When was this NPI record last updated?

The NPPES record for Nicholas Dugan was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.