DR. NATHAN ALLAN NICHOLSON
NPI 1972860476
Orthopaedic Surgery in Ottumwa, IA

Q: What is Nathan Nicholson's NPI number?

The NPI number for Nathan Nicholson is 1972860476. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Nathan Nicholson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Nicholson was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 20, 2012PECOS EnrolledAccepts Medicare Assignment

81.6/100

CMS Quality Rating

1001 PENNSYLVANIA AVE, OTTUMWA, IA 52501(641) 684-3196(641) 684-3199 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 11, 2017 (3 updates tracked since 2017).

On this page

About Dr. Nathan Allan Nicholson NPPES

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

DR. NATHAN ALLAN NICHOLSON (NPI 1972860476) is an individual orthopaedic surgery provider in Ottumwa, Iowa, licensed in Iowa (MD-43975) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Keokuk County Health Center, and maintains a secondary practice location in Iowa City.

NPPES Registry Identity

NPI1972860476

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. NATHAN ALLAN NICHOLSON

Location Address1001 PENNSYLVANIA AVEOttumwa, IA 52501-6427

Mailing Address1001 Pennsylvania AveOttumwa, IA 52501-6427 · (641) 684-3196 · Fax (641) 684-3199

Phone(641) 684-3196

Fax(641) 684-3199

Sole ProprietorYes

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2012

Enumeration DateApril 20, 2012

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1972860476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IA · MD-43975

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.

1001 PENNSYLVANIA AVE, Ottumwa, IA 52501

Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Hawkins Dr, Orthopaedic SurgeryIowa City, IA 52242-1009 · Phone (319) 356-1616 · Fax (319) 353-6754

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. Nathan Allan Nicholson 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 ID244479335

PECOS Enrollment IDI20170713003138

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

Medicare enrollment records show Nathan Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ottumwa Health Group LLC

0.2 mi

Gynecology

1001 PENNSYLVANIA AVE
Ottumwa, IA 52501

Reassigned Medicare billing, Iowa enrollment
86 clinicians in this Medicare group

NPI 1386956290 (641) 682-7511

Pella Regional Health Center

2.7 mi

Rehabilitation

920 N QUINCY AVE
Ottumwa, IA 52501

Reassigned Medicare billing, Iowa enrollment
Also billed through NPI 1578520888 (Iowa)
129 clinicians in this Medicare group

NPI 1952773921 (641) 954-8085

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 7

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

828 services43 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

77 services36 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.

72 services49 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

31 services31 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.

23 services23 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Keokuk County Health Center

Critical Access Hospitals · Sigourney, IA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number161315

Location23019 Highway 149Sigourney, IA 52591 · Keokuk County

Emergency services

Davis County Hospital

Critical Access Hospitals · Bloomfield, IA

OwnershipGovernment - Local

CMS Certification Number161327

Location509 North Madison StreetBloomfield, IA 52537 · Davis County

Emergency services

Monroe County Hospital

Critical Access Hospitals · Albia, IA

OwnershipGovernment - Local

CMS Certification Number161342

Location6580 165th StreetAlbia, IA 52531 · Monroe County

Emergency services

Jefferson County Health Center

Critical Access Hospitals · Fairfield, IA

OwnershipGovernment - Local

CMS Certification Number161364

Location2000 S MainFairfield, IA 52556 · Jefferson County

Emergency services

Pella Regional Health Center

Critical Access Hospitals · Pella, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number161367

Location404 Jefferson StreetPella, IA 50219 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52501 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

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.

81.6/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

87.55

Promoting Interoperability

100

Improvement Activities

Cost

51.12

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

98%5,140 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

96%179 patients4/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

41%369 patients2/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

98%1,738 patients4/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

51%2,205 patients3/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

23%1,861 patients1/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 96% · 1,109 patients

Patients tobacco: 4% · 132 patients

73%1,109 patients3/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

49%2,205 patients2/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

6%2,205 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

9%2,205 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf L1833

DME-Orthotic Devices · category DF011N

1 supplier12 claims12 services$447.26 avg. paid by Medicare

Upper limb orthosis, not otherwise specified L3999

DME-Orthotic Devices · category DF000N

1 supplier17 claims17 services$206.62 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

RCHP OTTUMWA LLC

General Acute Care Hospital