NPI registry status
Active
2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1497102651 M.D.
Verify on CMS → Nicholas Wilcox, M.D.
Sports Medicine (Physical Medicine & Rehabilitation) Physician in Marysville, Washington.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,302 in Sports Medicine (Physical Medicine & Rehabilitation) 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
163
Medicare Part D claims · 73 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 583
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Nicholas Wilcox, M.D. filed 163 Medicare Part D claims in 2024 as a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Marysville, Washington.
- 163
- Part D claims, 2024
- Likely
- board-certified (heuristic)
- ≥34th
- pct by Part D claim volume (lower-bound band)
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.
Federal trust snapshot
What official records show about Nicholas Wilcox, M.D.
Federal records show an active NPI with Medicare Part D prescribing activity — verifiable registry data, not a proprietary rating.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1497102651), first enumerated 05/18/2016.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 163 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- State context
State board disciplinary context
Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Nicholas Wilcox, M.D.'s individual license status. Verify directly with the state medical board.
Source: WMC annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1497102651 · Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI-10 · ENUM-MID · TAX-NARROW · RX-LIGHT · BOOK-THIN · PHOTO-ENUM
- NPI-10 1497102651
- ENUM-MID 2016
- TAX-NARROW 1,302
- RX-LIGHT 163
- BOOK-THIN 41 in Washington
- PHOTO-ENUM Larry Guinto, M.D. · 2016
Nicholas Wilcox, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2024, across all CMS prescribers nationally
163 ≥ 34th percentile 34% of 1,416,883 prescribers are in lower value bands
Each bar is a band; taller bars hold more prescribers. 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.
The percentile is a conservative 100-claim band: it counts only prescribers in lower claim-volume bands. Medicare Part D claim volume is activity context, not a quality measure or recommendation. See methodology § corpus placement.
Source CMS Medicare Part D Prescriber Public Use File · 2024
✓
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).
What does the federal data show about Nicholas Wilcox, M.D.?
Quality data not reportedPrimary specialty
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Medicare Part D claims
163 72% vs specialty avg
Specialty distribution in Washington
How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Washington providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Physical Medicine & Rehabilitation) Physician. Verify directly:
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).
Practice Address
Provider Details
| NPI | 1497102651 |
|---|---|
| Specialty | Sports Medicine (Physical Medicine & Rehabilitation) 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 2024.
163
Total Claims
$2K
Total Drug Cost
73
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 178.667
- Total Day Supply
- 3,997
- Brand Drug Cost
- $0
- Generic Drug Cost
- $2K
- Opioid Claims
- 11 (6.7% rate)
Patient Demographics
- Average Patient Age
- 70.9 years
- Avg HCC Risk Score
- 1.07
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Nicholas Wilcox, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2024
- Celecoxib
Celecoxib
49 claims
- Methylprednisolone
Methylprednisolone
39 claims
- Meloxicam
Meloxicam
31 claims
- Diclofenac Sodium 11
Diclofenac Sodium
11 claims
| Drug | Claims |
|---|---|
| Celecoxib | 49 |
| Methylprednisolone | 39 |
| Meloxicam | 31 |
| Diclofenac Sodium | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Physical Medicine & Rehabilitation) Physician in WA →
All providers in Washington →
Compare specialties →
Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview
How Nicholas Wilcox, M.D. fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.
1,302
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
583
Avg Claims per Provider
Nicholas Wilcox, M.D.'s 163 claims are below the specialty average of 583.
Nationwide Sports Medicine (Physical Medicine & Rehabilitation) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Wilcox, both outside Washington so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2016)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Washington
Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as Wilcox.
One of 41 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers enrolled in Washington, 5 are shown here.
Frequently Asked Questions
What is Nicholas Wilcox, M.D.'s specialty? ▼
Nicholas Wilcox, M.D. specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in Marysville, Washington. Credentials: M.D..
How much does Nicholas Wilcox, M.D. prescribe under Medicare Part D? ▼
In 2024, Nicholas Wilcox, M.D. wrote 163 Medicare Part D claims totaling $2K in drug costs for 73 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 11 opioid claims in 2024 with an opioid prescribing rate of 6.7%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US? ▼
There are 1,302 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 583 Medicare Part D claims per year.
What drugs does Nicholas Wilcox, M.D. prescribe most often? ▼
Based on 2024 Medicare Part D data, Nicholas Wilcox, M.D.'s most frequently prescribed drugs include Celecoxib, Methylprednisolone, Meloxicam. 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 163 Part D claims and 73 Medicare beneficiaries in 2024. 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
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 (2024). 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 August 2026 (NPPES) / 2024 (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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.