James Nicholson, M.D.
Adult Reconstructive Orthopaedic Surgery Physician · East Setauket, NY
James Nicholson, M.D. is an adult reconstructive orthopaedic surgery physician with a practice address in East Setauket, New York, and NPI 1043251655, issued on Jun 8, 2006. Check the license (New York 236798, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- James Nicholson
- Credential
- M.D.
- Primary taxonomy
- Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X
- License number
- 236798 NY
Self-reported in NPPES; status is on the state search - Practice location
- 14 Technology Dr, East Setauket, NY 11733
- Phone
- (631) 444-4233
- Enumerated
- Jun 8, 2006
- Record last updated
- Jul 13, 2026
- Medicaid ID
- 02681905 NY
- Medicare enrollment
- Enrolled (PECOS I20050902000192); accepts Medicare assignment
- Medical or professional school
- Drexel University College Of Medicine, 1999
- Entity
- Type 1 · individual
8 nearest adult reconstructive orthopaedic surgery physician records → All 107 in New York → Look up another NPI →
Also registered at 14 Technology Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- James Barsi, M.D.Pediatric Orthopaedic Surgery Physician1376710178
- Jennifer Castelli, P.A.Physician Assistant1184665374
- Brian Cruickshank, M.D.Sports Medicine (Family Medicine) Physician1255582458
- Arielle DemarcoPhysician Assistant1295290013
- Nicholas DivarisOrthopaedic Trauma Physician1023065380
- Kristen Esposito, P.A.Medical Physician Assistant1568891547
Verify James Nicholson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 236798Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
69% fewer Medicare Part D claims than the average adult reconstructive orthopaedic surgery physician in 2024
180 Medicare Part D claims for 117 beneficiaries, against an average of 579 among the 1,112 providers of this specialty who prescribed in Part D. 25 claims were for opioids.
Most prescribed
- Celecoxib69 claims
- Amoxicillin27 claims
- Oxycodone Hcl14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 98.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $903.13
10 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 1,060 providers of this specialty with any payment received $68,015.27 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Stony Brook Orthopaedic Associates, University Faculty Practice CorporEast Setauket, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
James Nicholson among 107 adult reconstructive orthopaedic surgery physician records in New York
James Nicholson, M.D. is one of 107 adult reconstructive orthopaedic surgery physician records with a practice address in New York. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 5% of them.
- NPI issued2006 · 5% of these records are older, 68% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 71% of these records are
- Graduated1999 · median 2009 among the 76 with a school on file
- Record last updated2026 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207XS0114X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Adult Reconstructive Orthopaedic Surgery Physician providers in New York
There are 107 adult reconstructive orthopaedic surgery physician records in New York.
All 107 in New York → Every provider in East Setauket → Adult Reconstructive Orthopaedic Surgery Physician nationwide →
The 8 adult reconstructive orthopaedic surgery physician records with the nearest ZIP codes
- Gregory Minutillo, MDEast Setauket, NY 117331730674003
- Michael Bisogno, MDHuntington, NY 117431093178170
- Jessica Morton, M.D.Bethpage, NY 117141275980674
- James Henry, DO PC AOAOSFar Rockaway, NY 116911366550691
- Lidia AniPort Jefferson Station, NY 117761184289977
- Seth Korbin, MDStony Brook, NY 117941790027415
- Bradley Gerber, MDRockville Centre, NY 115701851390413
- Maximillian Ganz, DOMerrick, NY 115661144859240
Common questions
What is James Nicholson, M.D.'s NPI number?
James Nicholson, M.D.'s National Provider Identifier (NPI) is 1043251655, issued on Jun 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is James Nicholson, M.D. located?
The NPPES record lists a practice address at 14 Technology Dr, East Setauket, NY, 11733. Phone: (631) 444-4233. Providers update this record themselves, so call before visiting.
How can I verify James Nicholson, M.D.'s license?
NPPES lists New York license number 236798, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does James Nicholson, M.D. prescribe under Medicare Part D?
In 2024, James Nicholson, M.D. had 180 Medicare Part D claims for 117 beneficiaries; the average among adult reconstructive orthopaedic surgery physician prescribers was 579. Part D covers Medicare prescriptions only.
What is James Nicholson, M.D.'s MIPS final score?
The 2023 MIPS final score is 98.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.