DR. PETER D NICHOLAS JR. M.D.
NPI 1730185505
Specialist in Wyomissing, PA

Active since June 24, 2005PECOS EnrolledAccepts Medicare Assignment
84.38/100
CMS Quality Rating
2760 CENTURY BLVD, WYOMISSING, PA 19610(610) 375-4251(610) 375-6210 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter D Nicholas Jr. M.d. NPPES

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

DR. PETER D NICHOLAS JR. M.D. (NPI 1730185505) is an individual specialist in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD021072E) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Temple University School Of Medicine (1977).

NPPES Registry Identity

NPI1730185505
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PETER D NICHOLAS JR.Credential: M.D.
Location Address2760 CENTURY BLVDWyomissing, PA 19610-3359
Mailing Address2760 Century BlvdWyomissing, PA 19610-3359 · (610) 375-4251 · Fax (610) 375-6210
Fax(610) 375-6210
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1977
Enumeration DateJune 24, 2005
Last NPPES UpdateJuly 6, 2010
NPI 1730185505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in PA · MD021072E
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2760 CENTURY BLVD, Wyomissing, PA 19610

Other Identifiers 6

Medicare UPINC30831
Medicare NSC0277720001PA
Medicaid0006369910001PA
Medicare PIN123340F5JPA
Other1730185505PA · Npi
Medicare PIN660000792PA

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. Peter D Nicholas Jr. 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 ID2062423718
PECOS Enrollment IDI20101112000015
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 24

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.

Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
18,840 services15 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
13,200 services150 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
3,800 services13 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,426 services130 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
681 services348 patients
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.
363 services229 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

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.

84.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65.42
Promoting Interoperability91
Improvement Activities40
Cost90.02

Reported Quality Measures

Advance Care Plan
83%732 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
27%135 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
42%129 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%37 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%2,065 patients5/55-star benchmark: 100%
e-Prescribing
92%593 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
76%715 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%855 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
16%1,733 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 80% · 637 patients
Patients screened: 84% · 637 patients
7%29 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
49%531 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
59%248 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
74%90 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 728 patients
Patients totalRate: 1% · 736 patients
1%736 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier25 claims28 services$63.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 14

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

Physician Assistant
2760 CENTURY BLVD
WYOMISSING, PA 19610
Specialist
2760 CENTURY BLVD
WYOMISSING, PA 19610
Physician Assistant (Medical)
2760 CENTURY BLVD
WYOMISSING, PA 19610
Anesthesiology
2760 CENTURY BLVD
WYOMISSING, PA 19610
Pain Medicine (Pain Medicine)
2760 CENTURY BLVD
WYOMISSING, PA 19610
Specialist
2760 CENTURY BLVD
WYOMISSING, PA 19610
Specialist
2760 CENTURY BLVD
WYOMISSING, PA 19610
Internal Medicine (Rheumatology)
2760 CENTURY BLVD
WYOMISSING, PA 19610

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 Peter Nicholas's NPI number?

The NPI number for Peter Nicholas is 1730185505. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Peter Nicholas located?

Peter Nicholas practices at 2760 Century Blvd, Wyomissing, PA 19610. The listed phone number is (610) 375-4251.

What is Peter Nicholas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Peter Nicholas enrolled in Medicare?

Yes. Peter Nicholas 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.

Is Peter Nicholas affiliated with any hospitals?

According to CMS data, Peter Nicholas is affiliated with Geisinger Medical Center, Schuylkill Medical Center - South Jackson Street, Reading Hospital, Penn State Health St. Joseph and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Peter Nicholas was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.