Are you James Nicholson, M.D.? This profile is yours to edit: update your address, phone, photo and services.
Edit this profileAt a glance
- 14 Technology Dr, East Setauket, NY 11733
About Dr. Nicholson
Based in East Setauket, NY, James Nicholson, M.D. is listed in the NPI registry under orthopaedic adult reconstructive surgery. James graduated from Drexel University College of Medicine in 1999. Medicare claims data shows James provided 4,919 services to 2,595 patients. The services billed most often include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, and aspiration and/or injection of fluid from large joint. NPI 1043251655 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (631) 444-4233
- Email not available
Practice Locations
14 TECHNOLOGY DR
East Setauket, NY 11733
Procedures Most Often Billed to Medicare
4,919 services · 2,595 patients · 12 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Aspiration and/or injection of fluid from large joint | Procedure | 20610 |
538 | More than most peers in Orthopaedic Adult Reconstructive… |
| Replacement of knee joint, both sides of knee | Procedure | 27447 |
188 | More than most peers in Orthopaedic Adult Reconstructive… |
| Replacement of thigh bone and hip joint with prosthesis | Procedure | 27130 |
120 | More than most peers in Orthopaedic Adult Reconstructive… |
| Injection, triamcinolone acetonide, not otherwise specified, 10 mg | Drug given | J3301 |
1,961 | More often than most peers in Orthopaedic Adult Reconstructive… |
| Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | Drug given | J7323 |
178 | More often than most peers in Orthopaedic Adult Reconstructive… |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
910 | More than most peers in Orthopaedic Adult Reconstructive… |
| New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | Office visit | 99204 |
371 | More than most peers in Orthopaedic Adult Reconstructive… |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
359 | More often than most peers in Orthopaedic Adult Reconstructive… |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Billing code | G0180 |
236 | More than most peers in Orthopaedic Adult Reconstructive… |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
23 | As often as other peers in Orthopaedic Adult Reconstructive… |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Other orthopaedic adult reconstructive surgeons in East Setauket 1
Same specialty, same city.
Trained at Drexel University College of Medicine 2
Other providers in the same specialty who trained at the same institution.
More connections — 16 related providers in 2 groups
Class of 1999 at Drexel University College of Medicine 8
Providers who graduated from the same medical school in the same year.
Also performs Aspiration and/or injection of fluid from large joint 8
Providers in NY who bill this service to Medicare most often.
Common questions
What kind of doctor is James Nicholson?
James Nicholson is an orthopaedic adult reconstructive surgeon in East Setauket, NY. That is the designation recorded for this NPI in the federal registry, where it is listed as “Orthopaedic Adult Reconstructive Surgery”.
NPI registry
What is James Nicholson's address?
James Nicholson is listed at 14 Technology Dr, East Setauket, NY 11733. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with James Nicholson?
The number on file is (631) 444-4233. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for James Nicholson?
James Nicholson's National Provider Identifier is 1043251655. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did James Nicholson train?
James Nicholson attended Drexel University College of Medicine, graduating in 1999. This comes from the CMS National Downloadable File.
CMS public data
How much experience does James Nicholson have?
James Nicholson has 27 years experience. Calculated from a graduation year of 1999, reported in the CMS National Downloadable File.
CMS public data
What procedures does James Nicholson perform?
According to Medicare billing data, James Nicholson performs procedures including aspiration and/or injection of fluid from large joint, replacement of knee joint, both sides of knee and replacement of thigh bone and hip joint with prosthesis, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is James Nicholson's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by James Nicholson. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.