2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1316037195 MD
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CHRISTOPHER NICHOLAS, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in WEST BURLINGTON, Iowa. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
863
Medicare Part D claims · 450 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
Generic prescribing
85%
generic claims · 15% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.8186/100
▼ 5 pts below national avg 83.1 · [object Object]

What the federal data shows

CHRISTOPHER NICHOLAS, MD reported a CMS MIPS final score of 77.8186/100 — below the 83.1 national average — and filed 863 Medicare Part D claims in 2023.

77.8186/100
MIPS score · -5 vs avg
863
Part D claims, 2023
85%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

CHRISTOPHER NICHOLAS, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

78 24th percentile higher than 24% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

CHRISTOPHER NICHOLAS, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CHRISTOPHER NICHOLAS, MD?

Below national average

NPI registry status

Active

Issued 10/13/2006

NPI 1316037195

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Mid-sized

5,062 US NPIs in this specialty

Medicare Part D claims

863 574% vs specialty avg

2023 prescription claims

Specialty avg: 128

MIPS final score

77.8186/100 5.281399999999991% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Iowa

How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Iowa providers

Iowa providers

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Iowa

1. Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Iowa

Medicare quality performance — MIPS

CHRISTOPHER NICHOLAS, MD's 2023 MIPS final score plotted against the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician national average

Below national average
MIPS Final Score
77.8186/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — 77.8186/100 vs national avg 83.1

0%100%National avg83%77.8%
MIPS final score (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — 77.8186/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

CHRISTOPHER NICHOLAS, MD appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding MD credentials at 1223 S GEAR AVE, WEST BURLINGTON, IA, 52655, with a listed phone of (319) 768-4350. NPI 1316037195 was issued on 10/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NICHOLAS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 863 prescription claims written by this provider, covering 450 Medicare beneficiaries and totaling roughly $41K in drug spend, split 15% brand-name and 85% generic by claim count, with an opioid prescribing rate of 7.4%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.8186/100 for the 2023 performance year (Quality 67.6256, Cost 58.4365), compared with the national average of 83.1.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1223 S GEAR AVE
WEST BURLINGTON, IA 52655

Provider Details

NPI 1316037195
Specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Credentials MD
Gender Male
NPI Issued 10/13/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

77.8186
Final Score
Avg: 83.1
67.6256
Quality
58.4365
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CHRISTOPHER NICHOLAS, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SOUTHEAST IOWA REGIONAL MEDICAL CENTER INC
WEST BURLINGTON, IA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Typical

CHRISTOPHER NICHOLAS, MD — brand share 15.0%
Specialty average (est.)

15% brand-name claims vs 85% generic, on 863 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

863
Total Claims
$41K
Total Drug Cost
450
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,551
Total Day Supply
36,067
Brand vs Generic
15% brand / 85% generic
Brand Drug Cost
$22K
Generic Drug Cost
$19K
Opioid Claims
64 (7.4% rate)
Antibiotic Claims
39

Patient Demographics

Average Patient Age
70.6 years
Avg HCC Risk Score
1.10
Gender Split
44% female / 56% male
Age Distribution
<65: 72, 65-74: 237, 75-84: 118, 85+: 23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What CHRISTOPHER NICHOLAS, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Famotidine
291
Sucralfate
79
Pantoprazole Sodium
72
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
58
Sutab
Sod Sulf/Pot Chloride/Mag Sulf
25
Omeprazole
23
Lactulose
14
Gavilyte-G
"Peg3350/Sod Sulf
N/A
Peg-3350 And Electrolytes
"Peg3350/Sod Sulf
N/A
Sod Sulf-Potass Sulf-Mag Sulf
"Sodium
N/A

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview

How CHRISTOPHER NICHOLAS, MD fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.

5,062
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider

CHRISTOPHER NICHOLAS, MD's 863 claims are above the specialty average of 128.

Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Iowa

Other clinicians with the same primary specialty enrolled in Iowa, drawn from the same CMS NPPES roster as NICHOLAS.

Compare Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CHRISTOPHER NICHOLAS, MD's specialty?
CHRISTOPHER NICHOLAS, MD specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in WEST BURLINGTON, Iowa. Credentials: MD.
How much does CHRISTOPHER NICHOLAS, MD prescribe under Medicare Part D?
In 2023, CHRISTOPHER NICHOLAS, MD wrote 863 Medicare Part D claims totaling $41K in drug costs for 450 beneficiaries.
What is CHRISTOPHER NICHOLAS, MD's Medicare quality score?
CHRISTOPHER NICHOLAS, MD has a CMS MIPS Final Score of 77.8186/100 (Quality: 67.6256, Cost: 58.4365). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CHRISTOPHER NICHOLAS, MD located?
CHRISTOPHER NICHOLAS, MD is located at 1223 S GEAR AVE, WEST BURLINGTON, IA, 52655. Phone: (319) 768-4350.
What is CHRISTOPHER NICHOLAS, MD's NPI number?
CHRISTOPHER NICHOLAS, MD's National Provider Identifier (NPI) is 1316037195, issued on 10/13/2006.
Does CHRISTOPHER NICHOLAS, MD prescribe more brand-name or generic drugs?
CHRISTOPHER NICHOLAS, MD's prescribing is 15% brand-name and 85% generic drugs by claim count, with $22K in brand drug costs.
Does CHRISTOPHER NICHOLAS, MD prescribe opioids?
Yes, CHRISTOPHER NICHOLAS, MD had 64 opioid claims in 2023 with an opioid prescribing rate of 7.4%.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US?
There are 5,062 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does CHRISTOPHER NICHOLAS, MD prescribe most often?
Based on 2023 Medicare Part D data, CHRISTOPHER NICHOLAS, MD's most frequently prescribed drugs include Famotidine, Sucralfate, Pantoprazole Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CHRISTOPHER NICHOLAS, MD accept Medicare?
CHRISTOPHER NICHOLAS, MD appears in CMS Medicare data with 863 Part D claims and 450 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CHRISTOPHER NICHOLAS, MD's credentials?
CHRISTOPHER NICHOLAS, MD's NPI is 1316037195 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology