DR. NICHOLAS JAMES EVERTSEN D.O.
NPI 1881846897
Plastic Surgery in Sayre, PA
About Dr. Nicholas James Evertsen D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICHOLAS JAMES EVERTSEN D.O. (NPI 1881846897) is an individual plastic surgery provider in Sayre, Pennsylvania, licensed in Pennsylvania (OS013911) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
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 James Evertsen 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicholas Evertsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Athens, PA 18810
- Reassigned Medicare billing, Pennsylvania and New York enrollments
- Medicare enrollment name: Guthrie Medical Group PC
- Also billed through NPI 1245246644 (New York)
- 830 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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Robert Packer Hospital
Acute Care Hospitals · Sayre, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
SAYRE, PA 18840
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 Evertsen's NPI number?
The NPI number for Nicholas Evertsen is 1881846897. It was assigned to this individual provider in the NPPES registry on October 21, 2008.
Where is Nicholas Evertsen located?
Nicholas Evertsen practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-2855.
What is Nicholas Evertsen's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Nicholas Evertsen enrolled in Medicare?
Yes. Nicholas Evertsen 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 organization bills Medicare for Nicholas Evertsen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Evertsen reassigns Medicare benefits to Guthrie Medical Group, P.C. (Athens, PA). The 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 Evertsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Evertsen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nicholas Evertsen 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.
Is Nicholas Evertsen affiliated with any hospitals?
According to CMS data, Nicholas Evertsen is affiliated with Robert Packer Hospital.
When was this NPI record last updated?
The NPPES record for Nicholas Evertsen was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Nicholas James Evertsen, D.O. · NPI 1881846897
Plastic Surgery physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 21, 2008.
## Identity
- **NPI:** 1881846897 (Entity type: Individual)
- **Enumerated:** October 21, 2008
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** OS013911 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 887-2855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Guthrie Medical Group, P.C. (NPI 1962451153, Athens, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** April 7, 2021
- **Other identifiers:** Medicaid 102500574 (PA); Medicaid 03248437 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1881846897) · Data from the CMS NPPES public registry.