DR. NICOLETTE C WALSH MD
NPI 1760416275
Family Medicine in Erie, PA

Q: What is Nicolette Walsh's NPI number?

The NPI number for Nicolette Walsh is 1760416275. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Nicolette Walsh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicolette Walsh was last updated on October 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2006PECOS Enrolled

93.78/100

CMS Quality Rating

4247 W RIDGE RD STE 105, ERIE, PA 16506(814) 838-2468(814) 835-2599 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 8, 2020, Mar 21, 2019 (2 updates tracked since 2019).

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About Dr. Nicolette C Walsh Md NPPES

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

DR. NICOLETTE C WALSH MD (NPI 1760416275) is an individual family medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD041295L) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cabot.

NPPES Registry Identity

NPI1760416275

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICOLETTE C WALSHCredential: MD

Location Address4247 W RIDGE RD STE 105Erie, PA 16506

Mailing Address4247 W Ridge Rd Ste 105Erie, PA 16506-1746 · (814) 838-2468

Phone(814) 838-2468

Fax(814) 835-2599

Sole ProprietorYes

Enumeration DateJuly 10, 2006

Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration

NPPES CertifiedOctober 8, 2020

✔ NPI 1760416275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD041295L

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4247 W RIDGE RD STE 105, Erie, PA 16506

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Secondary Practice Location 1

Location 1112 Marwood Rd, #5000Cabot, PA 16023-2239 · Phone (724) 352-4448 · Fax (724) 352-4412

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicolette C Walsh 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.

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 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.

30 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16506 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

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers15 claims28 services$6.16 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers16 claims16 services$81.90 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 19

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

DIVYA KORADIA MD

Family Medicine