NPIMap

Individual provider Active NPI

Michael Carl Nicoson, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Louisville, KY
National Provider Identifier
1275738171
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
47277 Issued in KY
Practice address
2400 Eastpoint Pkwy
Suite 570
Louisville, KY 40223-4154
Phone
(502) 631-0601
Fax
(855) 852-7155
NPI assigned
Jun 19, 2007
Last updated
Jan 8, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 01074143A IN
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 47277 KY Primary

Addresses

Primary practice location

2400 Eastpoint Pkwy
Suite 570
Louisville, KY 40223-4154

Mailing address

319 Mockingbird Hill Rd
Louisville, KY 40207-1852
Phone (502) 631-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140718001090 IN Practitioner - Hand Surgery 2860634706 Reassigns benefits to 1 organization
I20140730001406 KY Practitioner - Hand Surgery 2860634706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
University of Louisville School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hand and Wrist of Louisville PLLCGroup PAC ID 1658695481, 4 clinicians

Practice addresses (Care Compare)

2400 Eastpoint Pkwy
Louisville, KY 40223-4154
Phone (502) 409-6898

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.64 of 100Reported as individual
Quality
97.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hand and Wrist of Louisville, PLLC Surgery of the Hand CurrentSince Dec 9, 2014 Accepting new patients

Locations

2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850

2400 Eastpoint Pkwy
Ste 530
Louisville, KY 40223
Phone (502) 409-6898

2400 Eastpoint Pkwy
Ste 570
Louisville, KY 40223
Phone (502) 409-6898

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIGJCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CIGJCA/Endpoint/CIGJCA
  • Direct secure messaging: michael.nicoson@hwl.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1275738171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 MOCKINGBIRD HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071852",
            "telephone_number": "502-631-0601",
            "fax_number": "855-852-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 EASTPOINT PKWY",
            "address_2": "SUITE 570",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234154",
            "telephone_number": "502-631-0601",
            "fax_number": "855-852-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOSON",
        "first_name": "MICHAEL",
        "middle_name": "CARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "IN",
            "license": "01074143A",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "KY",
            "license": "47277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.