NICKOLAS BACON MD
NPI 1972172666
Internal Medicine in Festus, MO
About Nickolas Bacon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICKOLAS BACON MD (NPI 1972172666) is an individual internal medicine provider in Festus, Missouri, licensed in Missouri (2024001495) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Nickolas Bacon Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Nickolas Bacon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Festus, MO 63028
- Reassigned Medicare billing, Missouri enrollment
- 299 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: St Anthonys Physician Organization Hospitalist Services Lc
- 340 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 326 clinicians in this Medicare group
Saint Louis, MO 63141
- Reassigned Medicare billing, Missouri enrollment
- 435 clinicians in this Medicare group
Washington, MO 63090
- Reassigned Medicare billing, Missouri enrollment
- 261 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.
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.
Mercy Hospital Jefferson
Acute Care Hospitals · Festus, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 63028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FESTUS, MO 63028
FESTUS, MO 63028
FESTUS, MO 63028
FESTUS, MO 63028
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 Nickolas Bacon's NPI number?
The NPI number for Nickolas Bacon is 1972172666. It was assigned to this individual provider in the NPPES registry on June 17, 2021.
Where is Nickolas Bacon located?
Nickolas Bacon practices at 1400 Us Highway 61, Festus, MO 63028. The listed phone number is (636) 933-5337.
What is Nickolas Bacon's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nickolas Bacon enrolled in Medicare?
Yes. Nickolas Bacon 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 Nickolas Bacon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nickolas Bacon reassigns Medicare benefits to 5 organizations: Mercy Clinic Adult Hospitalists- Jefferson, LLC (Festus, MO), St Anthonys Physician Organization Hospitalist Services, L.C. (Saint Louis, MO), Mercy Clinic Adult Hospitalists - St. Louis, LLC (Saint Louis, MO), Mercy Hospitals East Communities (Saint Louis, MO) and Mercy Clinic Adult Hospitalists - Washington, LLC (Washington, MO). 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 Nickolas Bacon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nickolas Bacon accept?
Health plans from Anthem Blue Cross and Blue Shield list Nickolas Bacon 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 Nickolas Bacon affiliated with any hospitals?
According to CMS data, Nickolas Bacon is affiliated with Mercy Hospital Jefferson.
When was this NPI record last updated?
The NPPES record for Nickolas Bacon was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Nickolas Bacon, MD · NPI 1972172666
Internal Medicine physician in Festus, Missouri. Individual provider, active in the CMS NPPES registry since June 17, 2021.
## Identity
- **NPI:** 1972172666 (Entity type: Individual)
- **Enumerated:** June 17, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2024001495 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 US HIGHWAY 61, Festus, MO 63028-4100
- **Phone:** (636) 933-5337
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mercy Clinic Adult Hospitalists- Jefferson, LLC (NPI 1083052492, Festus, MO); St Anthonys Physician Organization Hospitalist Services, L.C. (NPI 1407216336, Saint Louis, MO); Mercy Clinic Adult Hospitalists - St. Louis, LLC (NPI 1841235108, Saint Louis, MO); Mercy Hospitals East Communities (NPI 1851431738, Saint Louis, MO); Mercy Clinic Adult Hospitalists - Washington, LLC (NPI 1891943429, Washington, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1972172666) · Data from the CMS NPPES public registry.