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DAVID E NICKLIN MD
NPI 1689602724
Family Medicine in Philadelphia, PA

Active since June 29, 2006PECOS EnrolledAccepts Medicare Assignment
39TH AND MARKET ST, 7TH FLOOR MUTCH BLDG, PHILADELPHIA, PA 19104(215) 662-8777 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About David E Nicklin Md NPPES

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

DAVID E NICKLIN MD (NPI 1689602724) is an individual family medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD027291E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1689602724
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDAVID E NICKLINCredential: MD
Location Address39TH AND MARKET ST, 7TH FLOOR MUTCH BLDGPhiladelphia, PA 19104
Mailing Address51 North 39th Street, 6 Mutch Bldg.Philadelphia, PA 19104-2640 · (215) 662-9144
Phone(215) 662-8777
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 6, 2012
✔ NPI 1689602724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD027291E
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.

39TH AND MARKET ST, Philadelphia, PA 19104
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Other Identifiers 3

Medicaid0010661600004PA
Medicare UPINC31669
Medicare ID-Type Unspecified143176PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

David E Nicklin 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 ID648437319
PECOS Enrollment IDI20120208000179
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 5

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.
155 services102 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.
112 services101 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.
100 services100 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.
43 services31 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
29 services21 patients

Hospital Affiliations CMS Care Compare 4

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390223
Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County
Emergency services

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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

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
8 suppliers13 claims43 services$6.54 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 4

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

JOSEPH J GALLO MD
Family Medicine
39TH AND MARKET ST, 7TH FLOOR MUTCH BLDG
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8777
ROSS R ZIMMER MD
Nuclear Medicine (Nuclear Cardiology)
39TH AND MARKET ST, 4 PHI
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9189
LAURENCE J GAVIN MD
Emergency Medicine
39TH AND MARKET ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-6963
ALAN S MOAK MD
Internal Medicine (Interventional Cardiology)
39TH AND MARKET ST, 4 PHI
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9000

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 David Nicklin's NPI number?

The NPI number for David Nicklin is 1689602724. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is David Nicklin located?

David Nicklin practices at 39th And Market St 7th Floor Mutch Bldg, Philadelphia, PA 19104. The listed phone number is (215) 662-8777.

What is David Nicklin's specialty?

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

Is David Nicklin enrolled in Medicare?

Yes. David Nicklin 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 David Nicklin accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list David Nicklin 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 David Nicklin affiliated with any hospitals?

According to CMS data, David Nicklin is affiliated with Hospital Of Univ Of Pennsylvania, Main Line Hospital Lankenau, Penn Presbyterian Medical Center and Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for David Nicklin was last updated on January 6, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.