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NITIN TIWARI
NPI 1720433592
Dermatology in Chillicothe, OH

Active since April 29, 2016PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
4439 STATE ROUTE 159 STE G50, CHILLICOTHE, OH 45601(740) 779-8580(740) 779-8589 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Nov 19, 2020, Aug 6, 2020 and 2 more (5 updates tracked since 2017).

About Nitin Tiwari NPPES

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

NITIN TIWARI (NPI 1720433592) is an individual dermatology provider in Chillicothe, Ohio, licensed in Ohio (35.140263) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1720433592
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameNITIN TIWARI
Location Address4439 STATE ROUTE 159 STE G50Chillicothe, OH 45601-7202
Mailing Address4439 State Route 159 Ste G50Chillicothe, OH 45601-7202 · (740) 779-8580 · Fax (740) 779-8589
Phone(740) 779-8580
Fax(740) 779-8589
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 29, 2016
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedNovember 19, 2020
✔ NPI 1720433592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in OH · 35.140263
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4439 STATE ROUTE 159 STE G50, Chillicothe, OH 45601
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11250 E. Marshall St., Box 980509Richmond, VA 23298 · Phone (804) 828-8786 · Fax (804) 828-5466
Location 21240 Lee StCharlottesville, VA 22908-0817 · Phone (434) 243-6297 · Fax (434) 244-9438
Location 31240 Lee St Ste 2401Charlottesville, VA 22908-0817 · Phone (434) 243-6297 · Fax (434) 244-9438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nitin Tiwari 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 ID7810281276
PECOS Enrollment IDI20260318000409
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nitin Tiwari reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adena Medical Group LLC
0.3 mi
Family Medicine
272 HOSPITAL RD
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 763 clinicians in this Medicare group
NPI 1235468083 (740) 779-7500
Southeastern Skin Cancer & Dermatology
385 mi
MOHS-Micrographic Surgery
104 J E BRISCOE WAY
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 7 clinicians in this Medicare group
NPI 1538433602 (256) 705-3000
Schweiger Dermatology PLLC
486 mi
Dermatology
110 E 55TH ST FL 14
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 187 clinicians in this Medicare group
NPI 1831438662 (929) 470-5354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
20 services20 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45601 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

DR. THOMAS GLENN LEWIS M.D.
Dermatology
4439 STATE ROUTE 159 STE G50
CHILLICOTHE, OH 45601
Ross County (740) 779-8580

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 Nitin Tiwari's NPI number?

The NPI number for Nitin Tiwari is 1720433592. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Nitin Tiwari located?

Nitin Tiwari practices at 4439 State Route 159 Ste G50, Chillicothe, OH 45601. The listed phone number is (740) 779-8580.

What is Nitin Tiwari's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Nitin Tiwari enrolled in Medicare?

Yes. Nitin Tiwari 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.

Which organizations bill Medicare for Nitin Tiwari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nitin Tiwari reassigns Medicare benefits to 3 organizations: Adena Medical Group LLC (Chillicothe, OH), Southeastern Skin Cancer & Dermatology (Madison, AL) and Schweiger Dermatology PLLC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nitin Tiwari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nitin Tiwari accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Nitin Tiwari 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 Nitin Tiwari was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.