Thomas J Nicholson, MD
Individual provider Active NPI Colon & Rectal Surgery Physician · York, PA
NPI 1922081785 · NPPES record last updated Apr 15, 2021
Key facts
- NPI
- 1922081785
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- License
- MD069287L (PA)
- Practice address
- 1703 Innovation Dr Ste 3136
York, PA 17408-8815 - Phone
- (717) 741-3449
- Fax
- (717) 741-5496
- NPI assigned
- Nov 25, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 16
Owned or controlled facilities with NPI records 7
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Pennsylvania State University College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Health Medical Services
Practice addresses (Care Compare)
1703 Innovation Dr
Leader Surgical Associates Upmc
York, PA 17408-9712
Phone (717) 741-3449
Hospital & facility affiliations
- Vna of Hanover and Spring Grove
- Upmc Memorial
- Upmc Pinnacle Hospitals
- Upmc Hanover
- Wellspan York Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 208 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Upmc Pinnacle Hospitals |
Hospital | Corporate Director | Jan 1, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040302000938 | PA | Practitioner - General Surgery | 2961399134 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upmc Leader Surgery Center, LLC | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current |
Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current |
Accepting new patients | |
| Pinnacle Health Medical Services | Past | Accepting new patients | |
| Upmc Memorial | Past | Accepting new patients |
Locations
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
25 Monument Rd
Ste 260
York, PA 17403
Phone (717) 741-3449
1703 Innovation Dr
Ste 3136
York, PA 17408
Phone (717) 741-3449
1703 Innovation Dr
York, PA 17408
Phone (717) 741-3449
Interoperability endpoints
- tnicholson298250@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | MD069287L | PA | Yes |
Addresses
Primary practice location
1703 Innovation Dr Ste 3136
York, PA 17408-8815
Mailing address
1703 Innovation Dr Ste 3136
York, PA 17408-8815
Other practice location 1
25 Monument Rd
Suite 260
York, PA 17403-5060
Phone (717) 741-3449
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1947440 | Medicaid | PA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tnicholson65643@phsdirect.pinnaclehealth.org |
Other providers in York, PA
- NHS Stevens Center
- Muhammad Hafeezullah Niazi
- Gabrielle Nichisti
- Joanne Nicholson
- Philip Geoffrey Nicholson Jr.
- Walter Jay Nicholson
- Michael S Nickels
- Carolyn Miller Nickey
- Sara Niedoba
- Sara Allison Niester
All providers in York, PA · Colon & Rectal Surgery Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.