NPPES file of Aug 9, 2026

Nicholas Ryan Fiacco

Internal Medicine Physician · Chapel Hill, NC

Nicholas Ryan Fiacco is an internal medicine physician with a practice address in Chapel Hill, North Carolina, and NPI 1093042095, issued on Nov 11, 2009. Check the license (North Carolina 201801251, as entered in NPPES) on the North Carolina Medical Board; the Medicare figures below come from public CMS files.

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

NPPES recordNPPES file of Aug 9, 2026
1093042095
Name
Nicholas Ryan Fiacco
Primary taxonomy
Internal Medicine Physician 207R00000X
License numbers
201801251 NC
0101256953 VA
Self-reported in NPPES; status is on the state search
Practice location
112 Perkins Dr Ste 400, Chapel Hill, NC 27514
Phone
(984) 261-1560
Enumerated
Nov 11, 2009
Record last updated
Dec 5, 2023
Medicare enrollment
Enrolled (PECOS I20220512001767); accepts Medicare assignment
Medical or professional school
Mercer University School Of Medicine, 2013
Telehealth
Offers telehealth (CMS)
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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Verify Nicholas Ryan Fiacco in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNorth Carolina Medical Board
    Search for license 201801251
    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 North Carolina license search

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90% fewer Medicare Part D claims than the average internal medicine physician in 2024

317 Medicare Part D claims for 51 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 51% of claims.

  1. Nicholas Fiacco317
  2. Specialty average3,176

Most prescribed

  1. Ozempic46 claims
  2. Metformin Hcl Er26 claims
  3. Levothyroxine Sodium25 claims
  4. Mounjaro21 claims
  5. Soliqua 100-3319 claims
  6. Liothyronine Sodium16 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.

Industry payments in 2024: $49.26

2 payments; by number, the most common kind was education; the largest payer was Novo Nordisk Inc. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Nicholas Fiacco$49.26
  2. Specialty average$1,303.06

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

  1. Forsyth Medical Group, LLCHendersonville, NC

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

Nicholas Ryan Fiacco among 4,056 internal medicine physician records in North Carolina

Nicholas Ryan Fiacco is one of 4,056 internal medicine physician records with a practice address in North Carolina. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2009, is newer than 61% of them.

  • NPI issued2009 · 61% of these records are older, 36% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2013 · median 2004 among the 2,706 with a school on file
  • Record last updated2023 · 48% 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 North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

219 internal medicine physician records list a practice address in Chapel Hill

They are 219 of the 7,608 NPPES records with a practice address in Chapel Hill, and 4,056 internal medicine physician records in North Carolina.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Susan Berendzen, M.D.Chapel Hill, NC 275141477601573
  2. Samuel Cykert, M.D.Chapel Hill, NC 275141518910967
  3. Angela Davis, M.D.Chapel Hill, NC 275141689741126
  4. Elizabeth Duncan, M.D., PH.D.Chapel Hill, NC 275141891911772
  5. Stephen Goldner, MDChapel Hill, NC 275141710087614
  6. Lisa Hartman, MDChapel Hill, NC 275141093751422
  7. Louis Kolman, M.D.Chapel Hill, NC 275141821298738
  8. Janelle Krasovich, MDChapel Hill, NC 275141992747406

Common questions

What is Nicholas Ryan Fiacco's NPI number?

Nicholas Ryan Fiacco's National Provider Identifier (NPI) is 1093042095, issued on Nov 11, 2009. An NPI identifies a provider in billing; it is not a license.

Where is Nicholas Ryan Fiacco located?

The NPPES record lists a practice address at 112 Perkins Dr Ste 400, Chapel Hill, NC, 27514. Phone: (984) 261-1560. Providers update this record themselves, so call before visiting.

How can I verify Nicholas Ryan Fiacco's license?

NPPES lists North Carolina license number 201801251, as entered by the provider. Search the North Carolina Medical Board at https://portal.ncmedboard.org/verification/search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Nicholas Ryan Fiacco prescribe under Medicare Part D?

In 2024, Nicholas Ryan Fiacco had 317 Medicare Part D claims for 51 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

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.