NICHOLAS J. DAMICO M.D. NPI 1700233228
Radiology - Radiation Oncology in Saginaw, MI
About NICHOLAS J. DAMICO M.D.
Nicholas Damico is a provider established in Saginaw, Michigan and his medical specialization is Radiology with a focus in radiation oncology with more than 7 years of experience. The NPI number of this provider is 1700233228 and was assigned on May 2016. The practitioner's primary taxonomy code is 2085R0001X with license number 4301503995 (MI). The provider is registered as an individual and his NPI record was last updated one year ago.
| NPI | 1700233228 |
| Provider Name | NICHOLAS J. DAMICO M.D. |
| Location Address | 800 S WASHINGTON AVE SAGINAW, MI 48601 |
| Location Phone | (989) 907-8269 |
| Mailing Address | 13103 HARBORVIEW DR LINDEN, MI 48451 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2016 |
| Is Sole Proprietor? | No |
| Enumeration Date | 05-16-2016 |
| Last Update Date | 03-09-2022 |
Nicholas Damico is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Nicholas Damico is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Midmichigan Medical Center - Alpena, Mclaren Bay Region, Ascension St Mary's Hospital, Midmichigan Medical Center - West Branch and Midmichigan Medical Center - West Branch.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.31, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $43.2 for a new patient copayment and $17.7 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2085R0001X |
| Classification | Radiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Radiation Oncology |
| License No. | 4301503995 |
| License State | MI |
| Taxonomy Description | A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Business Address
800 S WASHINGTON AVE
SAGINAW, MI
ZIP 48601
Phone: (989) 907-8269
Fax: (989) 907-8313
Mailing Address
13103 HARBORVIEW DR
LINDEN, MI
ZIP 48451
Phone: (248) 980-6645
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 6709174162 |
| PECOS Enrollment ID | I20210714003233 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 48601 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99205 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $56.39 | $172.8 | $172.8 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $14.09 | $43.2 | $43.2 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99213 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $17.24 | $140.86 | $70.8 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.31 | $35.21 | $17.7 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 78.01 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 81.31 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Nicholas Damico is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| MIDMICHIGAN MEDICAL CENTER - ALPENA | 1501 W CHISHOLM ST ALPENA, MI 49707 | (989) 356-7390 | Acute Care Hospitals | 230036 | |
| MCLAREN BAY REGION | 1900 COLUMBUS AVE BAY CITY, MI 48708 | (989) 894-3000 | Acute Care Hospitals | 230041 | |
| ASCENSION ST MARY'S HOSPITAL | 800 S WASHINGTON AVENUE SAGINAW, MI 48601 | (989) 776-8000 | Acute Care Hospitals | 230077 | |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | 2463 SOUTH M-30 WEST BRANCH, MI 48661 | (989) 345-6366 | Acute Care Hospitals | 230095 | |
| MIDMICHIGAN MEDICAL CENTER - WEST BRANCH | 200 HEMLOCK TAWAS CITY, MI 48764 | (989) 362-9301 | Acute Care Hospitals | 230100 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 2 | 3 | 3 | 2 | 2 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 4 | 3 | 6 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 4 + 3 + 6 + 2 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1700233228 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477530202 | YOUNG H KIM M.D. Individual | Radiology (Radiation Oncology) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8115 |
| 1487631222 | KHURSHID AHMAD M.D. Individual | Radiology (Radiation Oncology) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8115 |
| 1053360040 | CHARLES HOOSHMAND NIGHTINGALE MD Individual | Emergency Medicine (Emergency Medical Services) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 907-8200 |
| 1578515573 | SAGINAW RADIOTHERAPY PC Organization | Radiology (Radiation Oncology) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 790-0007 |
| 1346289303 | ALEXANDER E BEREHULA CRNA Individual | Specialist | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1427099274 | BALASUBRAMANIAM SRINIVASAN, MD Organization | Specialist | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1245271097 | BAPINEEDU MAGANTI, M.D. Organization | Anesthesiology | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1699718445 | ANIRUDHA BHANDIWAD M.D. Individual | Anesthesiology | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1780628164 | MRS. MARGARET MARY KOHLER C.R.N.A. Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1790720803 | NORMAN SOLIS Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1619905890 | MICHAEL SICKLES Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1336177716 | JAMES MILLER Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1588692842 | THOMAS L. MILESKI Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1497785927 | DEBORAH LYNN MAIZE CRNA Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1639101355 | DAWNE SHEFFIELD Individual | Nurse Anesthetist, Certified Registered | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1376658690 | DR. SUNIL P PANDIT MD Individual | Anesthesiology | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 776-8000 |
| 1932201548 | MR. WEICHEN WANG M.D., PH. D Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 907-8230 |
| 1427135078 | DR. MARK CHARLES LESTER M.D. Individual | Neurological Surgery | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 907-8175 |
| 1033263330 | FELIZA A ORTEGA RDMS Individual | Radiologic Technologist (Sonography) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 907-8019 |
| 1487708764 | MARY MARGARET HUGHES R.D.M.S. Individual | Radiologic Technologist (Sonography) | 800 S WASHINGTON AVE SAGINAW, MI 48601 (989) 907-8019 |
Frequently Asked Questions
What is Nicholas Damico M.D. NPI number?
The NPI number assigned to this healthcare provider is 1700233228, registered as an "individual" on May 16, 2016
Where is Nicholas Damico M.D. located?
The provider is located at 800 S Washington Ave Saginaw, Mi 48601 and the phone number is (989) 907-8269
Which is Nicholas Damico M.D. specialty?
The provider's speciality is Radiology with a focus in Radiation Oncology
How many years of experience does Nicholas Damico M.D. have?
The provider has more than 7 years of experience.
Is Nicholas Damico M.D. registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Nicholas Damico M.D.?
Medicare beneficiaries should expect a typical cost of $172.8 with an average copayment of $43.2 for new patient appointments. Established patients should expect a typical charge of $70.8 and an average copayment of 17.7. Please review your insurance plan or contact the provider directly to determine your specific costs.
Is Nicholas Damico M.D. affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: MIDMICHIGAN MEDICAL CENTER - ALPENA, MCLAREN BAY REGION, ASCENSION ST MARY'S HOSPITAL, MIDMICHIGAN MEDICAL CENTER - WEST BRANCH and MIDMICHIGAN MEDICAL CENTER - WEST BRANCH. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Nicholas Damico M.D. was last updated on May 16, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
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