DR. JOHN NICKOLAS PAPPAS M.D.
NPI 1952340598
Radiology - Vascular & Interventional Radiology in Cumberland, MD

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment
94.19/100
CMS Quality Rating
12500 WILLOWBROOK RD, CUMBERLAND, MD 21502(240) 964-1036(240) 964-1048 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2024, Jan 23, 2020 (2 updates tracked since 2020).

About Dr. John Nickolas Pappas M.d. NPPES

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

DR. JOHN NICKOLAS PAPPAS M.D. (NPI 1952340598) is an individual vascular & interventional radiology provider in Cumberland, Maryland, licensed in Maryland (D61124) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Garrett Regional Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1952340598
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameDR. JOHN NICKOLAS PAPPASCredential: M.D.
Location Address12500 WILLOWBROOK RDCumberland, MD 21502-6393
Mailing AddressPo Box 3206Lavale, MD 21504-3206 · (240) 964-1046 · Fax (240) 964-1048
Fax(240) 964-1048
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 6, 2006
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1952340598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
License Licensed in MD · D61124
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License D61124 (MD)
Also ListedRadiology · Diagnostic NeuroimagingTaxonomy 2085D0003X · License D61124 (MD)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License D61124 (MD)
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License D61124 (MD)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License D61124 (MD)
12500 WILLOWBROOK RD, Cumberland, MD 21502

Other Identifiers 2

OtherP00109544MD · Railroad Medicare
Medicaid394340201MD

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. John Nickolas Pappas 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 ID446246292
PECOS Enrollment IDI20040426000463, I20040510000317, I20230304000103
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 139

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,956 services1,366 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
1,141 services1,041 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
1,127 services983 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
760 services697 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
570 services525 patients
Ct scan of chest without contrast 71250
A CT scan of the chest without contrast is a non-invasive imaging procedure. It uses special X-ray equipment to produce detailed images of your chest area, including your lungs and heart. It can help diagnose conditions such as lung diseases or heart disorders. It doesn't involve any dyes or contrast agents.
528 services493 patients

Hospital Affiliations CMS Care Compare 5

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

Garrett Regional Medical Center

Acute Care Hospitals · Oakland, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210017
Location251 North Fourth StreetOakland, MD 21550 · Garrett County
Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

Upmc Somerset

Acute Care Hospitals · Somerset, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390039
Location225 South Center AvenueSomerset, PA 15501 · Somerset County
Emergency services

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21502 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

94.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.14
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%2,012 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
99%288 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Internal Medicine
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Obstetrics & Gynecology
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Nurse Anesthetist, Certified Registered
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502
Emergency Medicine
12500 WILLOWBROOK RD, EMERGENCY DEPARTMENT
CUMBERLAND, MD 21502
Social Worker
12500 WILLOWBROOK RD
CUMBERLAND, MD 21502

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 Pappas's NPI number?

The NPI number for John Pappas is 1952340598. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is John Pappas located?

John Pappas practices at 12500 Willowbrook Rd, Cumberland, MD 21502. The listed phone number is (240) 964-1036.

What is John Pappas's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is John Pappas enrolled in Medicare?

Yes. John Pappas 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 Pappas affiliated with any hospitals?

According to CMS data, John Pappas is affiliated with Garrett Regional Medical Center, Western Maryland Regional Medical Center, Upmc Somerset, West Virginia University Hospitals, Inc and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for John Pappas was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.