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LUKE NICHOLSON
NPI 1720446461
Dentist in Pittsburgh, PA

Active since February 09, 2016PECOS Enrolled
33C SIDNEY CT, PITTSBURGH, PA 15203(740) 275-1322 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 20, 2019, Feb 9, 2016 (2 updates tracked since 2016).

About Luke Nicholson NPPES

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

LUKE NICHOLSON (NPI 1720446461) is an individual dentist in Pittsburgh, Pennsylvania, licensed in Arizona (10269) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720446461
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameLUKE NICHOLSON
Location Address33C SIDNEY CTPittsburgh, PA 15203-2177
Mailing Address33c Sidney CtPittsburgh, PA 15203-2177 · (740) 275-1322
Phone(740) 275-1322
Sole ProprietorYes
Enumeration DateFebruary 9, 2016
Last NPPES UpdateJune 20, 20192 updates tracked since enumeration
✔ NPI 1720446461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in AZ · 10269
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
33C SIDNEY CT, Pittsburgh, PA 15203
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luke Nicholson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Luke Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Carlos Apache Healthcare Corporation
1,737 mi
Clinic/Center
9A CLARENCE WESLEY HEALTH CENTER LOOP
Bylas, AZ 85530
  • Reassigned Medicare billing, Texas enrollment
  • 438 clinicians in this Medicare group
NPI 1417330713 (928) 475-2686

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15203 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Luke Nicholson's NPI number?

The NPI number for Luke Nicholson is 1720446461. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Luke Nicholson located?

Luke Nicholson practices at 33C Sidney Ct, Pittsburgh, PA 15203. The listed phone number is (740) 275-1322.

What is Luke Nicholson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Luke Nicholson enrolled in Medicare?

Yes. Luke Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luke Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Nicholson reassigns Medicare benefits to San Carlos Apache Healthcare Corporation (Bylas, AZ). The 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 Luke Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Nicholson accept?

Health plans from Blue Cross Blue Shield of Arizona list Luke Nicholson 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 Luke Nicholson was last updated on June 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.