NPPES file of Aug 9, 2026

Joseph Anthony Nicholas, M.D.

Internal Medicine Physician · Rochester, NY

Joseph Anthony Nicholas, M.D. is an internal medicine physician with a practice address in Rochester, New York, and NPI 1366403057, issued on Mar 31, 2006. Check the license (New York 219959, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366403057
Name
Joseph Anthony Nicholas
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
219959 NY
Self-reported in NPPES; status is on the state search
Practice location
1000 South Ave, Rochester, NY 14620
Phone
(585) 341-6770
Enumerated
Mar 31, 2006
Record last updated
Jul 5, 2023
Fax
(585) 341-8305
Medicaid ID
02669221 NY
Medicare enrollment
Enrolled (PECOS I20050726000238); accepts Medicare assignment
Medical or professional school
University Of Pittsburgh School Of Medicine, 1997
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1000 South Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Zahir Abu-Baker, B.S.Pharmacist1003111808
  2. Arin Affonso, PHARM.DPharmacist1811069677
  3. Danielle Agan, PA-CPhysician Assistant1902277189
  4. Bilal Ahmed, MDHospice and Palliative Medicine (Internal Medicine) Physician1043253701
  5. Egan Allen, M.D.Internal Medicine Physician1962471763
  6. Richard Allen, CRNACertified Registered Nurse Anesthetist1033228853

Verify Joseph Anthony Nicholas in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
    Search for license 219959
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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92% fewer Medicare Part D claims than the average internal medicine physician in 2024

249 Medicare Part D claims for 25 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 21% of claims.

  1. Joseph Nicholas249
  2. Specialty average3,176

Most prescribed

  1. Sertraline Hcl24 claims
  2. Montelukast Sodium22 claims
  3. Prednisone22 claims
  4. Budesonide19 claims
  5. Yupelri19 claims
  6. Arformoterol Tartrate18 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 practice group's MIPS final score for 2023 (Medicare payment program): 85.2 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score70.9
  2. Costout of 100 · 30%63.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Highland Hospital OF RochesterRochester, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Joseph Anthony Nicholas among 12,067 internal medicine physician records in New York

Joseph Anthony Nicholas, M.D. is one of 12,067 internal medicine physician records with a practice address in New York. 79% 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 8% of them.

  • NPI issued2006 · 8% of these records are older, 53% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 60% of these records are
  • Graduated1997 · median 2002 among the 7,221 with a school on file
  • Record last updated2023 · 61% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

504 internal medicine physician records list a practice address in Rochester

They are 504 of the 20,520 NPPES records with a practice address in Rochester, and 12,067 internal medicine physician records in New York.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Egan Allen, M.D.Rochester, NY 146201962471763
  2. Howard Beckman, M.D.Rochester, NY 146201972555019
  3. Suzanne Gillespie, MDRochester, NY 146201215994330
  4. Robert Greene, M.D.Rochester, NY 146201922035740
  5. Youngrin Kim, M.D.Rochester, NY 146201386697498
  6. Russell Maggio, M.D.Rochester, NY 146201518932441
  7. Carl Magnussen, MDRochester, NY 146201639125651
  8. Richard Mottern, MDRochester, NY 146201578523957

Common questions

What is Joseph Anthony Nicholas, M.D.'s NPI number?

Joseph Anthony Nicholas, M.D.'s National Provider Identifier (NPI) is 1366403057, issued on Mar 31, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Joseph Anthony Nicholas, M.D. located?

The NPPES record lists a practice address at 1000 South Ave, Rochester, NY, 14620. Phone: (585) 341-6770. Providers update this record themselves, so call before visiting.

How can I verify Joseph Anthony Nicholas, M.D.'s license?

NPPES lists New York license number 219959, 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 Joseph Anthony Nicholas, M.D. prescribe under Medicare Part D?

In 2024, Joseph Anthony Nicholas, M.D. had 249 Medicare Part D claims for 25 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

What is Joseph Anthony Nicholas, M.D.'s MIPS final score?

The 2023 MIPS final score is 85.2 of 100, reported for the practice group. 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.