Doctor profile · Federal record
Dr. Nicholas Blickenstaff, M.D., M.S.
Dermatology Physician (CMS: Dermatology) · Dermatology Physician · Boise, ID
- NPI 1437544582
- MIPS 95.8 / 100 · 2023
- 7 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6454 W Emerald St
Boise, ID 837048734
(208) 377-0820
fax (208) 375-8046 - Additional location
-
13176 W Persimmon Ln
Boise, ID 837135063
(208) 939-8640
fax (208) 939-1892 - Mailing address
-
7123 W Archer Ave
Chicago, IL 606382203
Credentials & registration
- NPI registered
- April 2015 — 11 yrs on file
- Profile last updated
- April 25, 2022
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State licenses (2)
- Idaho #M15699 · Illinois #036.150002
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1437544582. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,436
Distinct HCPCS
10
Medicare allowed
$221,496
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 1,970 | 337 | $6 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 633 | 461 | $79 | |
17000 |
Destruction of precancer skin growth, 1 growth | 618 | 441 | $42 | |
17110 |
Destruction of skin growth, 1-14 growths | 275 | 233 | $91 | |
11102 |
Biopsy of related skin growth, first growth | 166 | 139 | $68 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 158 | 134 | $112 | |
12032 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 68 | 57 | $254 | |
11642 |
Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm | 55 | 48 | $118 | |
11103 |
Biopsy of related skin growth, each additional growth | 50 | 35 | $43 | |
12052 |
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 47 | 41 | $271 |
In context: peer comparison
Among 5 peers in Boise Dermatology Physician, average services per provider: 133. This provider delivers 33× the peer median.Open Payments
Industry payments received
All-time total
$1,458
Transactions
32
Manufacturers
11
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 8 | $401.95 | |
| Galderma Laboratories, L.P. | 3 | $253.92 | |
| Janssen Biotech, INC. | 4 | $199.07 | |
| Novartis Pharmaceuticals Corporation | 9 | $153.32 | |
| Dermavant Sciences, INC. | 1 | $143.86 | |
| Sun Pharmaceutical Industries INC. | 2 | $116.14 | |
| Pfizer INC. | 1 | $97.99 | |
| Arcutis Biotherapeutics, INC. | 1 | $28.22 | |
| Ucb, INC. | 1 | $28.14 | |
| Krystal Biotech INC | 1 | $20.86 | |
| Organogenesis INC. | 1 | $14.62 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
732
Patients
503
Total drug cost
$24,681
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Mometasone Furoate | Generic | 114 | 93 | $2,443 |
| Minoxidil | Generic | 89 | 34 | $842 |
| Triamcinolone Acetonide | Generic | 73 | 53 | $1,055 |
| Ketoconazole | Generic | 67 | 53 | $2,074 |
| Clobetasol Propionate | Generic | 61 | 45 | $4,769 |
| Doxycycline Hyclate | Generic | 56 | 38 | $2,698 |
| Fluorouracil | Generic | 46 | 41 | $4,327 |
| Betamethasone Dipropionate | Generic | 34 | 24 | $1,470 |
| Mupirocin | Generic | 34 | 32 | $276 |
| Fluconazole | Generic | 32 | 15 | $459 |
Hospital affiliations
Frequently asked questions
What is Dr. Nicholas Blickenstaff's medical specialty?
Dr. Nicholas Blickenstaff practices Dermatology Physician in Boise, ID.
Where does Dr. Nicholas Blickenstaff practice?
Dr. Nicholas Blickenstaff practices at 6454 W Emerald St, Boise, ID 837048734. Office phone: 2083770820.
What is Dr. Nicholas Blickenstaff's NPI?
Dr. Nicholas Blickenstaff's National Provider Identifier (NPI) is 1437544582, issued by NPPES.
Does Dr. Nicholas Blickenstaff accept Medicare assignment?
Dr. Nicholas Blickenstaff does not accept Medicare assignment for all services. Patients may be billed amounts beyond Medicare-allowed charges.
What procedures does Dr. Nicholas Blickenstaff commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Established patient office or other outpatient visit (HCPCS 99213); Destruction of precancer skin growth, 1 growth (HCPCS 17000). Source: CMS Medicare Physician & Other Practitioners file.