What is Peter Nicholas's specialty?

Peter Nicholas (NPI 1730185505) is a Medicare-billing provider whose primary specialty is Rheumatology in Wyomissing, PA.

Where does Peter Nicholas practice?

Peter Nicholas practices in Wyomissing, PA, based on the location reported in the CMS Medicare provider datasets for NPI 1730185505.

How much does Medicare pay Peter Nicholas?

Peter Nicholas (NPI 1730185505) received approximately $931K in total Medicare Part B payments, serving 523 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1730185505

Peter NicholasM.D.

PRACTICECLINICAL PAIN MANAGEMENT ASSOCIATES, PCSee all providers at this practice →

RheumatologyWyomissing, PAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

1,703

Unique beneficiaries

—

Total services

40,937

Distinct HCPCS

Medicare payment

$608K

Peer benchmark

Total Medicare services vs. 267 Rheumatology providers in PA — top quintile (cohort median 4,116).

PRESCRIBING · PART D · 2024

Total Rx claims

2,832

Beneficiaries

—

Total drug cost

$1.2M

Distinct drugs

Brand share

23.0%

Top prescribed drugs

Prednisone438 claims

Methotrexate Sodium272 claims

Hydroxychloroquine Sulfate258 claims

Methylprednisolone250 claims

Tramadol Hcl178 claims

QUALITY · MIPS · 2024

Final MIPS score

88.2

Quality

85.0

Cost

76.5

Improvement activities

40.0

Promoting interop.

99.0

Payment adjustment

0.56%

Individual

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$1K

Payment records

By payment type

Food and Beverage$1K

Top paying entities

Food and Beverage$1K

REFERRAL NETWORK

Where Peter 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 · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
MERCY DIAGNOSTICS INC	78	226
LEHIGH VALLEY HOSPITAL SCHUYLKILL	36	97
Quest Diagnostics Clinical Laboratories Inc Clinical Laboratory · Norristown, PA	35	66
Edward Fallon Diagnostic Radiology · West Reading, PA	22	39
SCHUYLKILL MEDICAL CENTER - EAST NORWEIGAN STREET	20	44
Alan Levine Internal Medicine · Reading, PA	16	74
Tong Ge Diagnostic Radiology · Carlisle, PA	15	18
Daniel O'shea Diagnostic Radiology · West Reading, PA	15	30
Daniel Shurman Dermatology · West Lawn, PA	14	41
James Snay Diagnostic Radiology · Chicago, IL	14	20
GEISINGER MEDICAL CENTER	13	22
Lucas Dejohn Diagnostic Radiology · Hershey, PA	13	21

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

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.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history