Doctor profile · Federal record

Dr. Nicole Debolt, D.O.

Surgery Physician (CMS: General Surgery) · Surgery Physician · Mc Connellsburg, PA

  • NPI 1912984832
  • Accepts Medicare
  • 24 yrs in practice
  • Licensed in 2 states
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
214 Peach Orchard RD
Mc Connellsburg, PA 172338559
(814) 623-1002
fax (814) 623-2982
Additional location
283 Hospital Dr
Everett, PA 155377020

Credentials & registration

NPPES · NUCC
NPI registered
December 2005 — 21 yrs on file
Profile last updated
May 7, 2024
Year of graduation
2002 — 24 yrs since
Specialty taxonomy
208600000X — NUCC code
State licenses (2)
Pennsylvania #OS015694 · Hawaii #DO 1023

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1912984832. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
159
Distinct HCPCS
4
Medicare allowed
$15,547
HCPCS Description Services Patients Avg allowed
99203 New patient office or other outpatient visit, 30-44 minutes 67 67 $106
99213 Established patient office or other outpatient visit, 20-29 minutes 62 53 $86
11102 Biopsy of related skin growth, first growth 15 14 $84
99214 Established patient office or other outpatient visit, 30-39 minutes 15 14 $122

In context: peer comparison

Among 2 peers in Mc Connellsburg Surgery Physician, average services per provider: 38. This provider delivers 4.2× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$44
Transactions
2
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ethicon US, LLC 2 $44.47

By nature of payment

Food and Beverage
$44

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
419
Patients
135
Total drug cost
$47,528
Drug Type Claims Patients Total cost
Sucralfate Generic 136 46 $11,648
Pantoprazole Sodium Generic 128 38 $2,533
Linzess (Linaclotide) Brand 39 0 $31,866
Imiquimod Generic 38 25 $712
Famotidine Generic 26 0 $193
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 15 14 $114
Doxycycline Hyclate Generic 14 12 $155
Omeprazole Generic 12 0 $186
Metronidazole Generic 11 0 $122

Frequently asked questions

Auto-generated from federal data
What is Dr. Nicole Debolt's medical specialty?
Dr. Nicole Debolt practices Surgery Physician in Mc Connellsburg, PA.
Where does Dr. Nicole Debolt practice?
Dr. Nicole Debolt practices at 214 Peach Orchard RD, Mc Connellsburg, PA 172338559. Office phone: 8146231002.
What is Dr. Nicole Debolt's NPI?
Dr. Nicole Debolt's National Provider Identifier (NPI) is 1912984832, issued by NPPES.
Does Dr. Nicole Debolt accept Medicare assignment?
Yes. Dr. Nicole Debolt accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Debolt commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213); Biopsy of related skin growth, first growth (HCPCS 11102). Source: CMS Medicare Physician & Other Practitioners file.