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NICHOLAS PETER FEDOR PA-C
NPI 1699103804
Physician Assistant in Torrance, CA

Active since October 24, 2013PECOS EnrolledAccepts Medicare Assignment
48.8/100
CMS Quality Rating
1907 BORDER AVE, TORRANCE, CA 90501(844) 443-6246(833) 907-2235 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2026, May 14, 2025 (2 updates tracked since 2025).

About Nicholas Peter Fedor Pa-c NPPES

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

NICHOLAS PETER FEDOR PA-C (NPI 1699103804) is an individual physician assistant in Torrance, California, licensed in (2427) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1699103804
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS PETER FEDORCredential: PA-C
Location Address1907 BORDER AVETorrance, CA 90501-3606
Mailing AddressPo Box 1008Lenoir City, TN 37771-1008 · (865) 988-3666
Phone(844) 443-6246
Fax(833) 907-2235
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 24, 2013
Last NPPES UpdateJanuary 13, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1699103804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed · 2427
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1907 BORDER AVE, Torrance, CA 90501
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Secondary Practice Location 1

Location 110820 Parkside Dr, Emergency Dept.Knoxville, TN 37934-1956 · Phone (865) 988-3666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc., Oscar Insurance Company.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

Nicholas Peter Fedor Pa-c 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 ID9537396536
PECOS Enrollment IDI20240516000916, I20240710002041, I20240816000891, I20250116001208, I20251006000407, I20251203004531
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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
85 services83 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
59 services59 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
33 services32 patients
Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes 99344
A new patient home visit is a comprehensive service where a healthcare professional visits your home for about an hour. This visit includes an overall health assessment, discussion about your medical history, and planning for future healthcare needs. The goal is to understand your health status and provide personalized care.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90501 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

48.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality37.71
Improvement Activities40
Cost26.87

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.

PARDEEP K SHORI DO
Family Medicine
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SHIRIN KOHANIM NP
Nurse Practitioner (Family)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
DENISE ESCARIESES PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
KEITH BENTLEY
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SIMY SIEMKHORN MORANO
Nurse Practitioner (Primary Care)
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
TASHARIAH ROBINSON PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
SYDNEY JACKSON PA-C
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246
HUYEN THI MAI NGUYEN
Physician Assistant
1907 BORDER AVE
TORRANCE, CA 90501
Los Angeles County (844) 443-6246

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 Fedor's NPI number?

The NPI number for Nicholas Fedor is 1699103804. It was assigned to this individual provider in the NPPES registry on October 24, 2013.

Where is Nicholas Fedor located?

Nicholas Fedor practices at 1907 Border Ave, Torrance, CA 90501. The listed phone number is (844) 443-6246.

What is Nicholas Fedor's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Fedor enrolled in Medicare?

Yes. Nicholas Fedor 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 Nicholas Fedor accept?

Health plans from Imperial Insurance Companies, Inc. and Oscar Insurance Company list Nicholas Fedor 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 Fedor was last updated on January 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.