Active NPI
Gary J Nicholson, MD
- Obstetrics & Gynecology Physician
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 196428
- Practice address
- 600 Fitch St Ste 102
Elmira, NY 14905-1634 - Phone
- (607) 734-6544
- Fax
- (607) 734-6580
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 196428 | NY | Primary |
Addresses
Primary practice location
600 Fitch St Ste 102
Elmira, NY 14905-1634
Mailing address
571 Saint Josephs Blvd FL 2
Elmira, NY 14901-3230
Phone (607) 271-2050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01884977 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Rochester School of Medicine and Dentistry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 John Roemmelt Dr
Suite 102
Horseheads, NY 14845-8302
Phone (607) 795-1666
600 Fitch St
Suite 102
Elmira, NY 14905-1634
Phone (607) 734-6544
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 55.31
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 76.8
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 46.76
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.08
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 196428 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Arnot Medical Services PLLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ira Davenport Memorial Hospital, Inc. | Current | Accepting new patients | |
| Arnot Ogden Medical Center | Current | Accepting new patients | |
| Ira Davenport Memorial Hospital, Inc. | Current | Accepting new patients | |
| Associates for Women'S Medicine PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Rochester General Hospital | Past | Accepting new patients | |
| Bayoumi Medical PLLC | Past | Accepting new patients |
Locations
7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500
123 Conhocton St
Ste 103
Corning, NY 14830
Phone (607) 438-1200
600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639
600 Fitch St
Ste 102
Elmira, NY 14905
Phone (607) 734-6544
600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161
571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050
571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050
100 John Roemmelt Dr
Ste 102
Horseheads, NY 14845
Phone (607) 795-1666
100 John Roemmelt Dr
Ste 202
Horseheads, NY 14845
Phone (607) 795-2820
Interoperability endpoints
- gary.nicholson@arn.eclinicaldirectplus.com
- gnicholson26513@direct.xtensys.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Skilled Nursing Facility
- Bath, NY
- NPI 1922192939
-
- Community/Retail Pharmacy
- Elmira, NY
- NPI 1831875004
-
- Rural Acute Care Hospital
- Bath, NY
- NPI 1306930318
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1942258702
-
- Internal Medicine Physician
- Warsaw, NY
- NPI 1245349208
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1063531929
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606262400000",
"number": "1629145768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "571 SAINT JOSEPHS BLVD FL 2",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013230",
"telephone_number": "607-271-2050",
"fax_number": "607-873-1244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 FITCH ST STE 102",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051634",
"telephone_number": "607-734-6544",
"fax_number": "607-734-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "GARY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2020-11-25",
"certification_date": "2020-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "196428",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01884977",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.