Doctor profile · Federal record

Dr. Nickoline Hathaway, MD

Internal Medicine Physician (CMS: Internal Medicine) · Bishop, CA

  • NPI 1629005749
  • Accepts Medicare
  • 42 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
152 Pioneer Ln, Suite C
Bishop, CA 935142563
(760) 873-7111

Credentials & registration

NPPES · NUCC
NPI registered
June 2006 — 20 yrs on file
Profile last updated
July 8, 2007
Year of graduation
1984 — 42 yrs since
Specialty taxonomy
207R00000X — NUCC code
State license (1)
California #G47705
Medicaid
CA #00G477050

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629005749. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
34
Distinct HCPCS
1
Medicare allowed
$232
HCPCS Description Services Patients Avg allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 34 28 $7

In context: peer comparison

Among 2 peers in Bishop Internal Medicine Physician, average services per provider: 36. This provider delivers 0.9× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Nickoline Hathaway's medical specialty?
Dr. Nickoline Hathaway practices Internal Medicine Physician in Bishop, CA.
Where does Dr. Nickoline Hathaway practice?
Dr. Nickoline Hathaway practices at 152 Pioneer Ln, Bishop, CA 935142563. Office phone: 7608737111.
What is Dr. Nickoline Hathaway's NPI?
Dr. Nickoline Hathaway's National Provider Identifier (NPI) is 1629005749, issued by NPPES.
Does Dr. Nickoline Hathaway accept Medicare assignment?
Yes. Dr. Nickoline Hathaway accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nickoline Hathaway commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010). Source: CMS Medicare Physician & Other Practitioners file.