Doctor profile · Federal record
Dr. Kellyrose Nichols, D.O.
Family Medicine Physician (CMS: Family Practice) · Le Roy, NY
- NPI 1013274638
- Accepts Medicare
- MIPS 73.3 / 100 · 2023
- 14 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
8745 Lake Street RD
Le Roy, NY 144829344
(585) 768-2620
Credentials & registration
- NPI registered
- April 2012 — 14 yrs on file
- Profile last updated
- June 28, 2023
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #279405
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1013274638. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
203
Distinct HCPCS
4
Medicare allowed
$21,530
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 81 | 81 | $126 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 73 | 54 | $96 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 37 | 27 | $64 | |
G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 12 | 12 | $162 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 66. This provider delivers 3.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
3,364
Patients
1,006
Total drug cost
$53,826
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 465 | 119 | $8,437 |
| Omeprazole | Generic | 302 | 91 | $4,317 |
| Atorvastatin Calcium | Generic | 296 | 107 | $4,833 |
| Lisinopril | Generic | 287 | 84 | $3,009 |
| Gabapentin | Generic | 246 | 71 | $4,787 |
| Losartan Potassium | Generic | 244 | 75 | $4,055 |
| Metoprolol Succinate | Generic | 222 | 75 | $6,654 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 213 | 56 | $2,367 |
| Amlodipine Besylate | Generic | 212 | 63 | $1,454 |
| Hydrochlorothiazide | Generic | 172 | 56 | $676 |
Frequently asked questions
What is Dr. Kellyrose Nichols's medical specialty?
Dr. Kellyrose Nichols practices Family Medicine Physician in Le Roy, NY.
Where does Dr. Kellyrose Nichols practice?
Dr. Kellyrose Nichols practices at 8745 Lake Street RD, Le Roy, NY 144829344. Office phone: 5857682620.
What is Dr. Kellyrose Nichols's NPI?
Dr. Kellyrose Nichols's National Provider Identifier (NPI) is 1013274638, issued by NPPES.
Does Dr. Kellyrose Nichols accept Medicare assignment?
Yes. Dr. Kellyrose Nichols accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kellyrose Nichols commonly perform?
Top Medicare-reported procedures in 2023: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439); Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.