Doctor profile · Federal record
Dr. James Nicholson, M.D.
Adult Reconstructive Orthopaedic Surgery Physician (CMS: Orthopedic Surgery) · East Setauket, NY
- NPI 1043251655
- Accepts Medicare
- MIPS 91.4 / 100 · 2023
- 27 yrs in practice
- Male
- No sanctions
Practice & contact
- Primary practice
-
14 Technology Dr
East Setauket, NY 117333472
(631) 444-4233 - Mailing address
-
Po Box 1559
Stony Brook, NY 117900989
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1999 — 27 yrs since
- Specialty taxonomy
- 207XS0114X — NUCC code
- State license (1)
- New York #236798
- Medicaid
- NY #02681905
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1043251655. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
4,589
Distinct HCPCS
10
Medicare allowed
$820,906
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 1,600 | 261 | $1 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 755 | 583 | $106 | |
20610 |
Aspiration and/or injection of fluid from large joint | 547 | 291 | $86 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 432 | 401 | $150 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 366 | 366 | $197 | |
G0180 |
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 | 252 | 243 | $62 | |
J7323 |
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 200 | 51 | $127 | |
27447 |
Replacement of knee joint, both sides of knee | 172 | 159 | $1,621 | |
27130 |
Replacement of thigh bone and hip joint with prosthesis | 120 | 116 | $1,622 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 39 | 39 | $202 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 305. This provider delivers 15× the peer median.Open Payments
Industry payments received
All-time total
$903
Transactions
10
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Stryker Corporation | 10 | $903.13 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
104
Patients
85
Total drug cost
$2,155
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Celecoxib | Generic | 42 | 30 | $1,665 |
| Amoxicillin | Generic | 29 | 26 | $258 |
| Oxycodone Hcl | Generic | 21 | 18 | $188 |
| Tramadol Hcl | Generic | 12 | 11 | $44 |
Frequently asked questions
What is Dr. James Nicholson's medical specialty?
Dr. James Nicholson practices Adult Reconstructive Orthopaedic Surgery Physician in East Setauket, NY.
Where does Dr. James Nicholson practice?
Dr. James Nicholson practices at 14 Technology Dr, East Setauket, NY 117333472. Office phone: 6314444233.
What is Dr. James Nicholson's NPI?
Dr. James Nicholson's National Provider Identifier (NPI) is 1043251655, issued by NPPES.
Does Dr. James Nicholson accept Medicare assignment?
Yes. Dr. James Nicholson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. James Nicholson commonly perform?
Top Medicare-reported procedures in 2023: Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS J3301); Established patient office or other outpatient visit (HCPCS 99213); Aspiration and/or injection of fluid from large joint (HCPCS 20610). Source: CMS Medicare Physician & Other Practitioners file.