DR. NICHOLAS MUNGAI MACHARIA MD
NPI 1861530248
Hospitalist in Tulsa, OK

Q: What is Nicholas Macharia's NPI number?

The NPI number for Nicholas Macharia is 1861530248. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Nicholas Macharia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Macharia was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since February 01, 2007PECOS Enrolled

79.39/100

CMS Quality Rating

1145 S UTICA AVE, STE 460, TULSA, OK 74104(918) 579-5749(918) 579-5762 Get Directions Write a Review

NPPES record last updated: August 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2017, Jun 22, 2017, Dec 16, 2016 (3 updates tracked since 2016).

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About Dr. Nicholas Mungai Macharia Md NPPES

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

DR. NICHOLAS MUNGAI MACHARIA MD (NPI 1861530248) is an individual hospitalist provider in Tulsa, Oklahoma, licensed in Oklahoma (28011) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861530248

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameDR. NICHOLAS MUNGAI MACHARIACredential: MD

Location Address1145 S UTICA AVE, STE 460Tulsa, OK 74104-4041

Mailing Address1145 S Utica Ave, Ste 460Tulsa, OK 74104-4041 · (918) 579-5749 · Fax (918) 579-5762

Phone(918) 579-5749

Fax(918) 579-5762

Sole ProprietorNo

Enumeration DateFebruary 1, 2007

Last NPPES UpdateAugust 31, 20173 updates tracked since enumeration

✔ NPI 1861530248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in OK · 28011

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 28011 (OK)

1145 S UTICA AVE, Tulsa, OK 74104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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. Nicholas Mungai Macharia 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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

76 services76 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

50 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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.

79.39/100

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

Scored as part of a group practice

Quality

77.76

Promoting Interoperability

Improvement Activities

Cost

54.37

Referred Medical Equipment & Supplies CMS DME claims 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$41.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier13 claims13 services$16.50 avg. paid by Medicare

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910

DME-Other DME · category DE000N

1 supplier11 claims11 services$7.56 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

1 supplier25 claims25 services$82.60 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 20

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

DR. DAE Y KIM M.D., PH.D

Urology

1145 S UTICA AVE, SUITE 202
TULSA, OK 74104

Tulsa County (918) 579-3130

JARED QUALLS APRN

Nurse Practitioner (Acute Care)

1145 S UTICA AVE, SUITE 460
TULSA, OK 74104

Tulsa County (918) 579-5749

DR. BRENT C MCANULTY M.D.

Hospitalist

1145 S UTICA AVE, STE 460
TULSA, OK 74104

Tulsa County (918) 579-5749

BOARD OF REGENTS OF THE UNIVERSITY OF OKLHOAMA OU PHYSICIANS TULSA

Urology

1145 S UTICA AVE, STE 202
TULSA, OK 74104

Tulsa County (918) 579-3130

SCOTT ROBISONS RX INC

Pharmacy (Community/Retail Pharmacy)

1145 S UTICA AVE, STE 18
TULSA, OK 74104

Tulsa County (918) 582-7144

MRS. ROSE MARIE MARTINO OTR/L

Occupational Therapist

1145 S UTICA AVE, SUITE 262
TULSA, OK 74104

Tulsa County (918) 579-3035

MELANIE K PHILLIPS MD

Emergency Medicine

1145 S UTICA AVE, TULSA
TULSA, OK 74104

Tulsa County (918) 579-2367

JANET ELIZABETH CHEEK DO

Hospitalist

1145 S UTICA AVE, STE 460
TULSA, OK 74104

Tulsa County (918) 579-5749

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 Macharia's NPI number?

The NPI number for Nicholas Macharia is 1861530248. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Nicholas Macharia located?

Nicholas Macharia practices at 1145 S Utica Ave Ste 460, Tulsa, OK 74104. The listed phone number is (918) 579-5749.

What is Nicholas Macharia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Nicholas Macharia enrolled in Medicare?

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

What insurance does Nicholas Macharia accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Nicholas Macharia 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 Nicholas Macharia was last updated on August 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.