Doctor profile · Federal record
Dr. NICHOLAS COUNTRYMAN, M.D.
Dermatology Physician (CMS: DERMATOLOGY) · Dermatology Physician · MOHS-Micrographic Surgery Physician · MOHS-Micrographic Surgery Physician · INDIANAPOLIS, IN
- NPI 1538327309
- Accepts Medicare
- MIPS 87.9 / 100 · 2023
- 21 yrs in practice
- Licensed in 2 states
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
7910 N SHADELAND AVE
INDIANAPOLIS, IN 462502041
(317) 516-5000
fax (317) 516-5146 - Mailing address
-
10507 HYDE PARK
CARMEL, IN 460328300
Credentials & registration
- NPI registered
- May 2008 — 18 yrs on file
- Profile last updated
- April 5, 2021
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207N00000X — NUCC code
- State licenses (2)
- Indiana #01069284A · North Carolina #2009-00203
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538327309. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,304
Distinct HCPCS
10
Medicare allowed
$1,055,261
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3245 |
Injection, tildrakizumab, 1 mg | 1,700 | 13 | $138 | |
17311 |
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 679 | 545 | $535 | |
17312 |
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 302 | 223 | $386 | |
17003 |
Destruction of precancer skin growth, 2-14 growths | 192 | 37 | $6 | |
12052 |
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm | 115 | 113 | $150 | |
13132 |
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 95 | 90 | $223 | |
17313 |
Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks | 91 | 73 | $533 | |
12032 |
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 86 | 85 | $221 | |
13121 |
Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm | 77 | 73 | $216 | |
11102 |
Biopsy of related skin growth, first growth | 75 | 66 | $66 |
In context: peer comparison
Among 18 peers in this city , average services per provider: 190. This provider delivers 23× the peer median.Open Payments
Industry payments received
All-time total
$334
Transactions
8
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Regeneron Healthcare Solutions, Inc. | 2 | $99.37 | |
| Dermavant Sciences, Inc. | 1 | $92.24 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $66.26 | |
| Lilly USA, LLC | 3 | $58.01 | |
| Novartis Pharmaceuticals Corporation | 1 | $18.30 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
444
Patients
395
Total drug cost
$5,177
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Doxycycline Hyclate | Generic | 168 | 154 | $2,690 |
| Mupirocin | Generic | 105 | 94 | $1,143 |
| Tramadol Hcl | Generic | 72 | 66 | $188 |
| Cephalexin | Generic | 42 | 39 | $348 |
| Dicloxacillin Sodium | Generic | 28 | 27 | $682 |
| Triamcinolone Acetonide | Generic | 17 | 15 | $83 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 12 | 0 | $43 |