DR. MICHAEL NICHOLSON M.D.
NPI 1942241633
Obstetrics & Gynecology in Clinton Township, MI

Active since June 10, 2006PECOS EnrolledAccepts Medicare Assignment
89.74/100
CMS Quality Rating
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038(586) 263-2978 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Michael Nicholson M.d. NPPES

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

DR. MICHAEL NICHOLSON M.D. (NPI 1942241633) is an individual obstetrics & gynecology provider in Clinton Township, Michigan, licensed in Michigan (4301068186) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and maintains a secondary practice location in Lake Orion.

NPPES Registry Identity

NPI1942241633
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. MICHAEL NICHOLSONCredential: M.D.
Location Address15855 19 MILE RDClinton Township, MI 48038-3504
Mailing Address6341 Deer Cross DrClarkston, MI 48348-2830 · (248) 620-6076
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1996
Enumeration DateJune 10, 2006
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
✔ NPI 1942241633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301068186
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
15855 19 MILE RD, Clinton Township, MI 48038

Secondary Practice Location 1

Location 11428 S Lapeer RdLake Orion, MI 48360-1437 · Phone (248) 693-0543 · Fax (248) 693-3683

Other Identifiers 1

Medicaid4705424MI

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. Michael Nicholson M.d. 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 ID7012973209
PECOS Enrollment IDI20041209000183
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

15

Medicare enrollment records show Michael Nicholson reassigns Medicare billing to 15 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physician Assistant
15855 19 MILE RD
Clinton Twp, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
Family Medicine
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 66 clinicians in this Medicare group
Internal Medicine
44405 WOODWARD AVE
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 139 clinicians in this Medicare group
Medical Specialty
1428 S LAPEER RD
Lake Orion, MI 48360
  • Reassigned Medicare billing, Michigan enrollment
  • 42 clinicians in this Medicare group
General Practice
218 W MAIN ST STE 100
Flushing, MI 48433
  • Reassigned Medicare billing, Michigan enrollment
  • 328 clinicians in this Medicare group
Obstetrics & Gynecology
205 N. EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 59 clinicians in this Medicare group
Obstetrics & Gynecology
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 37 clinicians in this Medicare group
Family Medicine
820 N PINE RIVER ST
Ithaca, MI 48847
  • Reassigned Medicare billing, Michigan enrollment
  • 258 clinicians in this Medicare group
Multi-Specialty
4000 WELLNESS DR
Midland, MI 48670
  • Reassigned Medicare billing, Michigan enrollment
  • 536 clinicians in this Medicare group
Family Medicine
2463 S M 30
West Branch, MI 48661
  • Reassigned Medicare billing, Michigan enrollment
  • 179 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.

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

89.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.03
Promoting Interoperability100
Improvement Activities40
Cost59.78

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.

Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038

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 Michael Nicholson's NPI number?

The NPI number for Michael Nicholson is 1942241633. It was assigned to this individual provider in the NPPES registry on June 10, 2006.

Where is Michael Nicholson located?

Michael Nicholson practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 263-2978.

What is Michael Nicholson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Michael Nicholson enrolled in Medicare?

Yes. Michael Nicholson 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 Michael Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Nicholson reassigns Medicare benefits to 15 organizations: Henry Ford Macomb Hospital Corporation (Clinton Twp, MI), Henry Ford Health Rochester Hospital (Rochester, MI), Sjmh Medical Practice-Smhc (Pontiac, MI), Women's Healthcare Associates Of Oakland PLLC (Lake Orion, MI), Memorial Hospital (Flushing, MI) and 10 more organizations, listed in the Medicare section above. 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 Michael Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Nicholson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Michael Nicholson 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 Michael Nicholson affiliated with any hospitals?

According to CMS data, Michael Nicholson is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Michael Nicholson was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.