WARREN RUSSELL NICKERSON MD
NPI 1750611794
General Practice in Brockton, MA

Active since January 13, 2010PECOS Enrolled
1 PEARL ST, BROCKTON, MA 02301(508) 584-4107 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Warren Russell Nickerson Md NPPES

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

WARREN RUSSELL NICKERSON MD (NPI 1750611794) is an individual general practice provider in Brockton, Massachusetts, licensed in Massachusetts (29149) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750611794
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameWARREN RUSSELL NICKERSONCredential: MD
Location Address1 PEARL STBrockton, MA 02301-2864
Mailing Address24 Hannah CircleCotuit, MA 02635 · (508) 428-2085
Sole ProprietorNo
Enumeration DateJanuary 13, 2010
Last NPPES UpdateJune 3, 2014
NPI 1750611794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MA · 29149
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1 PEARL ST, Brockton, MA 02301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Warren Russell Nickerson Md 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 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.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
42%253 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
73%253 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
34%253 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
18%253 patients
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.

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.

Nurse Practitioner (Pediatrics)
1 PEARL ST, SUITE 2000
BROCKTON, MA 02301
Internal Medicine
1 PEARL ST, SUITE 2200
BROCKTON, MA 02301
Obstetrics & Gynecology
1 PEARL ST, SUITE 2500
BROCKTON, MA 02301
Internal Medicine
1 PEARL ST, SUITE 1000
BROCKTON, MA 02301
Surgery
1 PEARL ST, SUITE 2000
BROCKTON, MA 02301
Internal Medicine (Cardiovascular Disease)
1 PEARL ST, SUITE 1000
BROCKTON, MA 02301
Anesthesiology (Pain Medicine)
1 PEARL ST, SUITE 2300
BROCKTON, MA 02301
Internal Medicine (Gastroenterology)
1 PEARL ST, STE 2700
BROCKTON, MA 02301

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 Warren Nickerson's NPI number?

The NPI number for Warren Nickerson is 1750611794. It was assigned to this individual provider in the NPPES registry on January 13, 2010.

Where is Warren Nickerson located?

Warren Nickerson practices at 1 Pearl St, Brockton, MA 02301. The listed phone number is (508) 584-4107.

What is Warren Nickerson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Warren Nickerson enrolled in Medicare?

Yes. Warren Nickerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Warren Nickerson was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.