2026 NPPES data Sports Medicine (Orthopaedic Surgery) Physician NPI 1497102651 M.D.
Verify on CMS →

NICHOLAS WILCOX, M.D.

Sports Medicine (Orthopaedic Surgery) Physician in MARYSVILLE, Washington. 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
132
Medicare Part D claims · 68 beneficiaries · Sports Medicine (Orthopaedic Surgery) Physician avg: 278
What the federal data reveals: NICHOLAS WILCOX, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician ([object Object]) practicing in MARYSVILLE, Washington with a Medicare Part D prescribing footprint of 132 claims across 68 beneficiaries .

What stands out: NICHOLAS WILCOX, M.D. filed 132 Medicare Part D claims in 2023 across MARYSVILLE, Washington. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

NICHOLAS WILCOX, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 05/18/2016

NPI 1497102651

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician

Niche

2,681 US NPIs in this specialty

Medicare Part D claims

132 53% vs specialty avg

2023 prescription claims

Specialty avg: 278

Specialty distribution in Washington

How Sports Medicine (Orthopaedic Surgery) Physician compares to other specialties among Washington providers

Washington providers

Sports Medicine (Orthopaedic Surgery) Physician share within Washington

1. Sports Medicine (Orthopaedic Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Orthopaedic Surgery) Physician share within Washington

Specialty board-certification context

Estimated specialty board-certified rate — Sports Medicine (Orthopaedic Surgery) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sports Medicine (Orthopaedic Surgery) Physician ABMS/AOA estimate

Est. board-certified rate (Sports Medicine (Orthopaedic Surgery) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sports Medicine (Orthopaedic Surgery) Physician) — ABMS / AOA estimate

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).

NICHOLAS WILCOX, M.D. is a Sports Medicine (Orthopaedic Surgery) Physician provider practicing in MARYSVILLE, Washington, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1497102651. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

NICHOLAS WILCOX, M.D. appears in the CMS NPPES registry as a Sports Medicine (Orthopaedic Surgery) Physician provider holding M.D. credentials at 2901 174TH ST NE, MARYSVILLE, WA, 98271, with a listed phone of (360) 454-1900. NPI 1497102651 was issued on 05/18/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what WILCOX 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 132 prescription claims written by this provider, covering 68 Medicare beneficiaries and totaling roughly $933 in drug spend, with an opioid prescribing rate of 9.1%. 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.

Sports Medicine (Orthopaedic Surgery) Physician is a narrow specialty nationwide, with 2,681 enrolled providers across 53 states and an average of 278 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

2901 174TH ST NE
MARYSVILLE, WA 98271

Provider Details

NPI 1497102651
Specialty Sports Medicine (Orthopaedic Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 05/18/2016

Hospital and facility affiliations

Facilities where NICHOLAS WILCOX, M.D. 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.

OPTUM CARE WASHINGTON PLLC
EVERETT, WA

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

License & disciplinary context — Washington WMC 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 ~34K Washington medical licensees in 2023 — they are NOT specific to NICHOLAS WILCOX, M.D.. To verify NICHOLAS WILCOX, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington 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.

132
Total Claims
$933
Total Drug Cost
68
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
142
Total Day Supply
2,869
Generic Drug Cost
$916
Opioid Claims
12 (9.1% rate)

Patient Demographics

Average Patient Age
71.2 years
Avg HCC Risk Score
1.38
Gender Split
59% female / 41% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Meloxicam
50
Methylprednisolone
30
Celecoxib
11

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

Sports Medicine (Orthopaedic Surgery) Physician Overview

How NICHOLAS WILCOX, M.D. fits within the Sports Medicine (Orthopaedic Surgery) Physician landscape nationally.

2,681
Sports Medicine (Orthopaedic Surgery) Physician Providers in US
53
States with Sports Medicine (Orthopaedic Surgery) Physician
278
Avg Claims per Provider

NICHOLAS WILCOX, M.D.'s 132 claims are below the specialty average of 278.

Nearby Sports Medicine (Orthopaedic Surgery) Physician Providers in Washington

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

Compare Sports Medicine (Orthopaedic Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is NICHOLAS WILCOX, M.D.'s specialty?
NICHOLAS WILCOX, M.D. specializes in Sports Medicine (Orthopaedic Surgery) Physician and practices in MARYSVILLE, Washington. Credentials: M.D..
How much does NICHOLAS WILCOX, M.D. prescribe under Medicare Part D?
In 2023, NICHOLAS WILCOX, M.D. wrote 132 Medicare Part D claims totaling $933 in drug costs for 68 beneficiaries.
Where is NICHOLAS WILCOX, M.D. located?
NICHOLAS WILCOX, M.D. is located at 2901 174TH ST NE, MARYSVILLE, WA, 98271. Phone: (360) 454-1900.
What is NICHOLAS WILCOX, M.D.'s NPI number?
NICHOLAS WILCOX, M.D.'s National Provider Identifier (NPI) is 1497102651, issued on 05/18/2016.
Does NICHOLAS WILCOX, M.D. prescribe opioids?
Yes, NICHOLAS WILCOX, M.D. had 12 opioid claims in 2023 with an opioid prescribing rate of 9.1%.
How many Sports Medicine (Orthopaedic Surgery) Physician providers are there in the US?
There are 2,681 Sports Medicine (Orthopaedic Surgery) Physician providers across 53 states in the US. The average Sports Medicine (Orthopaedic Surgery) Physician provider writes 278 Medicare Part D claims per year.
What drugs does NICHOLAS WILCOX, M.D. prescribe most often?
Based on 2023 Medicare Part D data, NICHOLAS WILCOX, M.D.'s most frequently prescribed drugs include Meloxicam, Methylprednisolone, Celecoxib. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does NICHOLAS WILCOX, M.D. accept Medicare?
NICHOLAS WILCOX, M.D. appears in CMS Medicare data with 132 Part D claims and 68 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify NICHOLAS WILCOX, M.D.'s credentials?
NICHOLAS WILCOX, M.D.'s NPI is 1497102651 with credentials M.D.. 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.
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