DR. PAUL NICHOLSON M.D.
NPI 1962934109
Emergency Medicine in Lexington, KY
About Dr. Paul Nicholson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAUL NICHOLSON M.D. (NPI 1962934109) is an individual emergency medicine provider in Lexington, Kentucky, licensed in Kentucky (56835) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Licking Memorial Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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. Paul 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.
Areas of Expertise CMS Part B claims 4
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.
Licking Memorial Hospital
Acute Care Hospitals · Newark, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40504 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.
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 Paul Nicholson's NPI number?
The NPI number for Paul Nicholson is 1962934109. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Paul Nicholson located?
Paul Nicholson practices at 1221 S Broadway, Lexington, KY 40504. The listed phone number is (859) 258-4000.
What is Paul Nicholson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Paul Nicholson enrolled in Medicare?
Yes. Paul 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.
What insurance does Paul Nicholson accept?
Health plans from CareSource list Paul 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 Paul Nicholson affiliated with any hospitals?
According to CMS data, Paul Nicholson is affiliated with Licking Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Paul Nicholson was last updated on June 8, 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.
