DR. NICHOLAS JAMES EVERTSEN D.O.
NPI 1881846897
Plastic Surgery in Sayre, PA

Active since October 21, 2008PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1881846897
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. NICHOLAS JAMES EVERTSENCredential: D.O.
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateOctober 21, 2008
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
NPI 1881846897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in PA · OS013911
Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

1 GUTHRIE SQ, Sayre, PA 18840

Other Identifiers 2

Medicaid102500574PA
Medicaid03248437NY

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID1153516109
PECOS Enrollment IDI20101116000644, I20110309000292
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 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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
30 services26 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031
This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.
25 services25 patients
Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602
This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.
24 services23 patients
Punch biopsy, first skin growth 11104
A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.
22 services22 patients
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11642
This procedure involves the surgical removal of a cancerous skin growth on the face, ears, eyelids, nose, lips, or mouth. The growth is between 1.1-2.0 cm in size. This is done to prevent the cancer from spreading and to restore health.
14 services11 patients

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, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician 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.

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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Psychologist
1 GUTHRIE SQ
SAYRE, PA 18840
Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Physician Assistant
1 GUTHRIE SQ
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.

What insurance does Nicholas Evertsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 with the weekly NPPES data releases published by CMS.