DR. NICHOLAS E GHIONNI III D.O.
NPI 1871941351
Hospitalist in Washington, DC

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-7000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 28, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Dr. Nicholas E Ghionni Iii D.o. NPPES

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

DR. NICHOLAS E GHIONNI III D.O. (NPI 1871941351) is an individual hospitalist provider in Washington, District Of Columbia, licensed in Maryland (H0092306) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Inova Fairfax Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2016).

NPPES Registry Identity

NPI1871941351
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. NICHOLAS E GHIONNI IIICredential: D.O.
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address110 Irving St NwWashington, DC 20010-3017 · (202) 877-7000
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2016
Enumeration DateMay 25, 2016
Last NPPES UpdateMarch 26, 20242 updates tracked since enumeration
NPPES CertifiedMarch 26, 2024
✔ NPI 1871941351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in MD · H0092306✔ Licensed in PA · OS019981✔ Licensed in DC · DO034917
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.
110 IRVING ST NW, Washington, DC 20010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas E Ghionni Iii D.o. 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 ID3274821715
PECOS Enrollment IDI20210517000292
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 Billing Reassignments

2

Medicare enrollment records show Nicholas Ghionni reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1145 19TH ST NW, SUITE 311
Washington, DC 20036
  • Reassigned Medicare billing, Maryland enrollment
  • 2,602 clinicians in this Medicare group
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1588717755 (Virginia)
  • 2,618 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
396 services181 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
226 services111 patients
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.
28 services28 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
17 services13 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
16 services16 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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 (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010

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 Ghionni's NPI number?

The NPI number for Nicholas Ghionni is 1871941351. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Where is Nicholas Ghionni located?

Nicholas Ghionni practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-7000.

What is Nicholas Ghionni's specialty?

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

Is Nicholas Ghionni enrolled in Medicare?

Yes. Nicholas Ghionni 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.

Which organizations bill Medicare for Nicholas Ghionni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Ghionni reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Inova Health Care Services (Falls Church, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Ghionni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Ghionni affiliated with any hospitals?

According to CMS data, Nicholas Ghionni is affiliated with Inova Fairfax Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Ghionni was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.