DOMINIC NICACIO
NPI 1659908622
Emergency Medicine in Charlotte, NC

Q: What is Dominic Nicacio's NPI number?

The NPI number for Dominic Nicacio is 1659908622. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Dominic Nicacio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Nicacio was last updated on January 16, 2024. 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.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

1000 BLYTHE BLVD, CHARLOTTE, NC 28203(704) 355-3181(704) 355-7047 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dominic Nicacio NPPES

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

DOMINIC NICACIO (NPI 1659908622) is an individual emergency medicine provider in Charlotte, North Carolina, licensed in Washington (MD61405669) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Pineville, and is a graduate of University Of Washington School Of Medicine (2020).

NPPES Registry Identity

NPI1659908622

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDOMINIC NICACIO

Location Address1000 BLYTHE BLVDCharlotte, NC 28203-5812

Mailing Address932 Ne 147th StShoreline, WA 98155-7050 · (206) 612-3320

Phone(704) 355-3181

Fax(704) 355-7047

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateJanuary 16, 2024

NPPES CertifiedAugust 11, 2023

✔ NPI 1659908622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · MD61405669

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1000 BLYTHE BLVD, Charlotte, NC 28203

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan of North Carolina, Inc, Providence Health Plan.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

Dominic Nicacio 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 ID547684953

PECOS Enrollment IDI20230824002540, I20240703001773

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

252 services249 patients

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.

195 services176 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

56 services56 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

50 services50 patients

Hospital Affiliations CMS Care Compare 4

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

Atrium Health Pineville

Acute Care Hospitals · Charlotte, NC

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340098

Location10628 Park RdCharlotte, NC 28210 · Mecklenburg County

Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340119

Location301 Yadkin StAlbemarle, NC 28001 · Stanly County

Emergency services Birthing friendly

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500058

Location888 Swift BlvdRichland, WA 99352 · Benton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28203 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

JENNIFER EGAN M.D.

Pathology (Clinical Pathology/Laboratory Medicine)