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PROVIDER PROFILE · NPI 1427075506

Theodore NicholasM.D.

Pain ManagementKill Devil Hills, NCI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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PricingContactPrivacyTerms
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
735
Unique beneficiaries
—
Total services
1,635
Distinct HCPCS
9
Medicare payment
$130K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 58 Pain Management providers in NC — below median (cohort median 1,863).
PRESCRIBING · PART D · 2024
Total Rx claims
8,887
Beneficiaries
—
Total drug cost
$538K
Distinct drugs
60
Brand share
23.6%
Top prescribed drugs
Oxycodone Hcl2,021 claims
Hydrocodone/Acetaminophen710 claims
Alprazolam686 claims
Oxycodone Hcl/Acetaminophen441 claims
Gabapentin413 claims
REFERRAL NETWORK

Where Theodore Nicholas's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 15 inbound referrers · 35 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
THE OUTER BANKS HOSPITAL INC97226
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER89159
Millennium Health, Llc
Clinical Laboratory · San Diego, CA
3883
Albrecht Heyder
Pulmonary Disease · Elizabeth City, NC
2880
SENTARA HOSPITALS2536
James Hunter
Diagnostic Radiology · Greenville, NC
1824
Jasvinder Singh
Pulmonary Disease · Elizabeth City, NC
1846
Angelique Polidoro
Family Practice · Port Charlotte, FL
1752
Dare County Administrative Offices
Ambulance Service Provider · Kill Devil Hills, NC
1726
Gary Hunter
Anesthesiology · Oxford, MS
1217
Christina Bowen
Family Practice · Kitty Hawk, NC
1226
George Jordan
Diagnostic Radiology · Greenville, NC
1220
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
Millennium Health, Llc
Clinical Laboratory · San Diego, CA
354697
THE OUTER BANKS HOSPITAL INC101223
Laboratory Corporation Of America Holdings
Clinical Laboratory · Burlington, NC
90138
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER81139
Lindsey White
Cardiology · Elizabeth City, NC
4891
Lysle Ailstock
Diagnostic Radiology · Greenville, NC
3646
SENTARA ALBEMARLE REGIONAL MEDICAL CENTER, LLC2851
James Owens
Family Practice · Jarvisburg, NC
2759
Alan Maniet
Cardiology · Elizabeth City, NC
2664
Albrecht Heyder
Pulmonary Disease · Elizabeth City, NC
2665
CHESAPEAKE HOSPITAL AUTHORITY2437
SENTARA HOSPITALS2235
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
QUALITY · MIPS · 2024
Final MIPS score
75.0
Quality
0.0
Cost
0.0
Improvement activities
0.0
Promoting interop.
0.0
Payment adjustment
0.00%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
No data available for this provider in 2024.