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JOHN EDWARD NOLAN
NPI 1912306879
Orthopaedic Surgery in New Hyde Park, NY

Active since August 17, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
410 LAKEVILLE RD STE 303, NEW HYDE PARK, NY 11042(516) 390-4263 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Edward Nolan NPPES

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

JOHN EDWARD NOLAN (NPI 1912306879) is an individual orthopaedic surgery provider in New Hyde Park, New York, licensed in New York (302659) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Georgetown University School Of Medicine (2015).

NPPES Registry Identity

NPI1912306879
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN EDWARD NOLAN
Location Address410 LAKEVILLE RD STE 303New Hyde Park, NY 11042-1104
Mailing Address3800 Reservoir Rd NwWashington, DC 20007-2113
Phone(516) 390-4263
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 2015
Enumeration DateAugust 17, 2014
Last NPPES UpdateFebruary 28, 2023
NPPES CertifiedFebruary 28, 2023
✔ NPI 1912306879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 302659
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
410 LAKEVILLE RD STE 303, New Hyde Park, NY 11042
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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

John Edward Nolan 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 ID9931401619
PECOS Enrollment IDI20221012000789
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 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
202 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
125 services81 patients
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.
122 services107 patients
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.
79 services79 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
71 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
47 services47 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MEDICAL SERVICES OF KIPS BAY PC
Orthopaedic Surgery
410 LAKEVILLE RD STE 303
NEW HYDE PARK, NY 11042
Nassau County (516) 321-7555
EDWARD S. RUBIN, MD PC
Pain Medicine (Interventional Pain Medicine)
410 LAKEVILLE RD STE 303
NEW HYDE PARK, NY 11042
Nassau County (516) 359-7246
SARA ARIEL OGUREK PA
Physician Assistant
410 LAKEVILLE RD STE 303
NEW HYDE PARK, NY 11042
Nassau County (516) 321-7555
MS. KATHERINE MONJARAS PA-C
Physician Assistant
410 LAKEVILLE RD STE 303
NEW HYDE PARK, NY 11042
Nassau County (516) 321-7555
SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC
Physical Therapist (Hand)
410 LAKEVILLE RD STE 303
NEW HYDE PARK, NY 11042
Nassau County (516) 321-7526
LUKE GARBARINO MD
Orthopaedic Surgery
410 LAKEVILLE RD STE 303
NEW HYDE PARK, NY 11042
Nassau County (516) 321-7555

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 John Nolan's NPI number?

The NPI number for John Nolan is 1912306879. It was assigned to this individual provider in the NPPES registry on August 17, 2014.

Where is John Nolan located?

John Nolan practices at 410 Lakeville Rd Ste 303, New Hyde Park, NY 11042. The listed phone number is (516) 390-4263.

What is John Nolan's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Nolan enrolled in Medicare?

Yes. John Nolan 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.

Is John Nolan affiliated with any hospitals?

According to CMS data, John Nolan is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for John Nolan was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.