2026 NPPES data Adult Reconstructive Orthopaedic Surgery Physician NPI 1427050152 MD
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George Nichols, MD

Adult Reconstructive Orthopaedic Surgery Physician in Vero Beach, Florida.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,245 in Adult Reconstructive Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
706
Medicare Part D claims · 384 beneficiaries · Adult Reconstructive Orthopaedic Surgery Physician avg: 493
MIPS score
89.9/100
▲ 7 pts above national avg 83.1 · Exceptional
Industry payments
$15.9K
13 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

George Nichols, MD reported a CMS MIPS final score of 89.9/100 - above the 83.1 national average - and filed 706 Medicare Part D claims in 2023.

89.9/100
MIPS score · +7 vs avg
706
Part D claims, 2023
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.

George Nichols, MD's MIPS score vs every scored U.S. clinician

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

90 Top 42% higher than 58% 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%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 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

Where George Nichols, MD sits

This provider among adult reconstructive orthopaedic surgery physician peers

Across the 496 adult reconstructive orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, George Nichols, MD writes more Part D claims than 67% of them and scores higher on MIPS quality than 74% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 30Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 27Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 87Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 38George Nichols, MD-Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 74
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one adult reconstructive orthopaedic surgery physician peer from a representative sample of 60; the gold marker is George Nichols, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

George Nichols, 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 George Nichols, MD?

High performer (top quartile)

NPI registry status

Active

Issued 08/12/2005

NPI 1427050152

Primary specialty

Adult Reconstructive Orthopaedic Surgery Physician

Niche

1,245 US NPIs in this specialty

Medicare Part D claims

706 43% vs specialty avg

2023 prescription claims

Specialty avg: 493

MIPS final score

89.9/100 6.8 pts vs avg

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Adult Reconstructive Orthopaedic Surgery Physician compares to other specialties among Florida providers

Florida providers
Behavior Technician - 16.1%Behavior Technician16.1%Mental Health Counselor - 4.8%Mental Health Counselor4.8%Family Nurse Practitioner - 4.5%Family Nurse Practitioner4.5%Pharmacist - 4.2%Pharmacist4.2%Student in an Organized Health Care Education/Training Program - 3.8%Student in an Organized Health Care Education/Training Program3.8%Physical Therapist - 3.1%Physical Therapist3.1%Adult Reconstructive Orthopaedic Surgery Physician - 0%Adult Reconstructive Orthopaedic Surgery Physician0%
Largest specialties in Florida (% of in-state providers)

Medicare quality performance, MIPS

George Nichols, MD's 2023 MIPS final score plotted against the Adult Reconstructive Orthopaedic Surgery Physician national average

High performer (top quartile)
MIPS Final Score
89.9/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 89.9/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Adult Reconstructive Orthopaedic Surgery Physician) - 89.9/100 vs national avg 83.1
How MIPS and board certification work

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).

George Nichols, MD appears in the CMS NPPES registry as a Adult Reconstructive Orthopaedic Surgery Physician provider holding MD credentials at 3450 11TH CT, Vero Beach, FL, 32960, with a listed phone of (772) 794-1444. NPI 1427050152 was issued on 08/12/2005.

Medicare Part D records for calendar year 2023 show 706 prescription claims written by this provider, covering 384 Medicare beneficiaries and totaling roughly $8K in drug spend, with an opioid prescribing rate of 15.0%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.9/100 for the 2023 performance year (Quality 75.8), compared with the national average of 83.1.

Adult Reconstructive Orthopaedic Surgery Physician is a narrow specialty nationwide, with 1,245 enrolled providers across 51 states and an average of 493 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

3450 11TH CT
Vero Beach, FL 32960

Provider Details

NPI 1427050152
Specialty Adult Reconstructive Orthopaedic Surgery Physician
Credentials MD
Gender Male
NPI Issued 08/12/2005

CMS Quality Score (MIPS)

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

89.8973
Final Score
Avg: 83.1
75.7557
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where George Nichols, 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.

Indian River Health Services Inc
Vero Beach, FL

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

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for George Nichols, MD. Source: openpaymentsdata.cms.gov.

Total received

$15.9K

Largest payer

ORTHO DEVELOPMENT CORPORATION

Most common payment type

Royalty or License

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context - Florida FLDOH 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~75K Florida medical licensees in 2023 - they are NOT specific to George Nichols, MD. To verify George Nichols, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

706
Total Claims
$8K
Total Drug Cost
384
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
759
Total Day Supply
18,411
Generic Drug Cost
$8K
Opioid Claims
106 (15.0% rate)
Antibiotic Claims
11

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.23
Gender Split
59% female / 41% male
Age Distribution
<65: 28, 65-74: 169, 75-84: 155, 85+: 32

Top Prescribed Drugs (Medicare Part D)

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

What George Nichols, 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
Meloxicam
318
Diclofenac Potassium
82
Prednisone
70
Methylprednisolone
54
Diclofenac Sodium
46
Tramadol Hcl
43
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
31
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
26

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

Adult Reconstructive Orthopaedic Surgery Physician Overview

How George Nichols, MD fits within the Adult Reconstructive Orthopaedic Surgery Physician landscape nationally.

1,245
Adult Reconstructive Orthopaedic Surgery Physician Providers in US
51
States with Adult Reconstructive Orthopaedic Surgery Physician
493
Avg Claims per Provider

George Nichols, MD's 706 claims are above the specialty average of 493.

Nearby Adult Reconstructive Orthopaedic Surgery Physician Providers in Florida

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

Compare Adult Reconstructive Orthopaedic Surgery Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Florida medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Adult Reconstructive Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is George Nichols, MD's specialty?
George Nichols, MD specializes in Adult Reconstructive Orthopaedic Surgery Physician and practices in Vero Beach, Florida. Credentials: MD.
How much does George Nichols, MD prescribe under Medicare Part D?
In 2023, George Nichols, MD wrote 706 Medicare Part D claims totaling $8K in drug costs for 384 beneficiaries.
What is George Nichols, MD's Medicare quality score?
George Nichols, MD has a CMS MIPS Final Score of 89.9/100 (Quality: 75.8). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is George Nichols, MD located?
George Nichols, MD is located at 3450 11TH CT, Vero Beach, FL, 32960. Phone: (772) 794-1444.
What is George Nichols, MD's NPI number?
George Nichols, MD's National Provider Identifier (NPI) is 1427050152, issued on 08/12/2005.
Does George Nichols, MD prescribe opioids?
Yes, George Nichols, MD had 106 opioid claims in 2023 with an opioid prescribing rate of 15.0%.
How many Adult Reconstructive Orthopaedic Surgery Physician providers are there in the US?
There are 1,245 Adult Reconstructive Orthopaedic Surgery Physician providers across 51 states in the US. The average Adult Reconstructive Orthopaedic Surgery Physician provider writes 493 Medicare Part D claims per year.
What drugs does George Nichols, MD prescribe most often?
Based on 2023 Medicare Part D data, George Nichols, MD's most frequently prescribed drugs include Meloxicam, Diclofenac Potassium, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does George Nichols, MD accept Medicare?
George Nichols, MD appears in CMS Medicare data with 706 Part D claims and 384 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify George Nichols, MD's credentials?
George Nichols, MD's NPI is 1427050152 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

View source datasets and methodology notes
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

Compiled from official public sources by the PlainDoctor editorial team.