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DR. LEROY NICKLES M.D.
NPI 1710070412
Emergency Medicine in New York, NY

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
170 W 12TH ST, EMERGENCY DEPT ADMINISTRATION, NEW YORK, NY 10011(212) 604-2590 Get Directions Write a Review

NPPES record last updated: March 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leroy Nickles M.d. NPPES

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

DR. LEROY NICKLES M.D. (NPI 1710070412) is an individual emergency medicine provider in New York, New York, licensed in New York (236503) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Holy Name Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2002).

NPPES Registry Identity

NPI1710070412
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. LEROY NICKLESCredential: M.D.
Location Address170 W 12TH ST, EMERGENCY DEPT ADMINISTRATIONNew York, NY 10011-8202
Mailing Address870 Saint Nicholas Ave Apt D8New York, NY 10032-5273 · (212) 491-8725 · Fax (212) 491-8725
Phone(212) 604-2590
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2002
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 21, 2024
NPPES CertifiedMarch 21, 2024
✔ NPI 1710070412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 236503✔ Licensed in PA · MD425081✔ Licensed in MI · 4301511279
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.
170 W 12TH ST, New York, NY 10011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual 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

Dr. Leroy Nickles M.d. 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 ID4284690025
PECOS Enrollment IDI20100316000165
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 2

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.
50 services50 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.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10011 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

JAY S WEINSTEIN MD
Internal Medicine
170 W 12TH ST, MEDICINE/GENERAL MEDICINE
NEW YORK, NY 10011
New York County (212) 356-4474
YONG T SHIN MD
Surgery
170 W 12TH ST, CARDIO/SURGERY
NEW YORK, NY 10011
New York County (212) 356-4474
LAURA N MIRANDA PTR
Physical Therapist (Pediatrics)
170 W 12TH ST, SPELLMAN 7
NEW YORK, NY 10011
New York County (212) 604-6783
DR. JOCELYNE BASTIEN MD.,
Student in an Organized Health Care Education/Training Program
170 W 12TH ST, NURSES RESIDENCE 5 TH FLOOR
NEW YORK, NY 10011
New York County (212) 604-7890
DR. SANDEEP KENNETH GARWIN M.D.
Internal Medicine
170 W 12TH ST
NEW YORK, NY 10011
New York County (212) 604-8336
MARTHA S GRAYSON MD
General Practice
170 W 12TH ST, MEDICINE/ GENERAL
NEW YORK, NY 10011
New York County (212) 356-4474
ST VINCENTS CATHOLIC MEDICAL CENTER OB-GYN DEPT
Obstetrics & Gynecology
170 W 12TH ST
NEW YORK, NY 10011
New York County (212) 356-4458
MISS MARY VALENTINE MCDONAGH N. P.
Nurse Practitioner (Family)
170 W 12TH ST, SPELLMAN 691
NEW YORK, NY 10011
New York County (212) 604-8670

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 Leroy Nickles's NPI number?

The NPI number for Leroy Nickles is 1710070412. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Leroy Nickles located?

Leroy Nickles practices at 170 W 12th St Emergency Dept Administration, New York, NY 10011. The listed phone number is (212) 604-2590.

What is Leroy Nickles's specialty?

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

Is Leroy Nickles enrolled in Medicare?

Yes. Leroy Nickles 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 Leroy Nickles accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Leroy Nickles 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 Leroy Nickles affiliated with any hospitals?

According to CMS data, Leroy Nickles is affiliated with Holy Name Medical Center and Lehigh Valley Hospital - Pocono.

When was this NPI record last updated?

The NPPES record for Leroy Nickles was last updated on March 21, 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.