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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS BOSWORTH MD
NPI 1750962544
Otolaryngology in Gulfport, MS

Active since April 14, 2021PECOS Enrolled
4500 13TH ST, GULFPORT, MS 39501(662) 719-6425 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 24, 2026, May 16, 2021, Apr 14, 2021 (3 updates tracked since 2021).

About Nicholas Bosworth Md NPPES

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

NICHOLAS BOSWORTH MD (NPI 1750962544) is an individual otolaryngology provider in Gulfport, Mississippi, licensed in Mississippi (1750962544) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750962544
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameNICHOLAS BOSWORTHCredential: MD
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing Address9000 Lorraine RdGulfport, MS 39503-6101 · (228) 864-2121
Phone(662) 719-6425
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1750962544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in MS · 1750962544
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4500 13TH ST, Gulfport, MS 39501
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Bosworth 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39501 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
$120.41 typical visit price
range $51.65 – $159.18
Typical copayment $30.10 (range $12.91 – $39.79)
Most-billed visit code 99204
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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.

HEATHER LYN JEFFREY
Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
JASON WELLS CRNA
Nurse Anesthetist, Certified Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 865-3281
MRS. CARLA ANN RUSHING AGACNP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
CHANNING CAMPBELL
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
TONI-ANN MILLER NP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
MS. TIFFANY S SCATLIFFE CSFA
Physician Assistant (Surgical)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
STANLEY TURNER CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563
MRS. JULIE KERSH APPEL RD
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4054

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 Nicholas Bosworth's NPI number?

The NPI number for Nicholas Bosworth is 1750962544. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Nicholas Bosworth located?

Nicholas Bosworth practices at 4500 13th St, Gulfport, MS 39501. The listed phone number is (662) 719-6425.

What is Nicholas Bosworth's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nicholas Bosworth enrolled in Medicare?

Yes. Nicholas Bosworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Bosworth was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.