DR. NICHOLAS DALTON HEATHSCOTT (MD) – Family Medicine Physician, NPI 1104351626

DR. NICHOLAS DALTON HEATHSCOTT (MD) is a healthcare provider. based in Tampa, Florida. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. ME137805 (FL). The NPI Number for DR. NICHOLAS DALTON HEATHSCOTT (MD) is 1104351626

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS DALTON HEATHSCOTT (MD)
NPI
1104351626
Phone
(813) 723-5450
Address
15416 N FLORIDA AVE
Enumeration Date
21 April 2017
Last Update Date
23 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
8137235450
Graduation Year
2017 (9 years ago)
PAC ID
7810263605
Group Practice PAC ID
9830244433
Professional Enrollment ID
I20190823000135
Address ID
FL336131244TA15416AVEX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

Provider Addresses for DR. NICHOLAS DALTON HEATHSCOTT (MD)

  • 15416 N FLORIDA AVE

    TAMPA, FL 336131244

    Phone: (813) 723-5450

    Fax: (813) 723-5451

    Type: Location

  • Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205-2606, United States

    BIRMINGHAM, AL 352051638

    Phone: (205) 939-3699

    Fax: (205) 581-7155

    Type: Mailing

  • 2675 WINKLER AVE FL 2

    FORT MYERS, FL 339019342

    Phone: (877) 856-3774

    Fax: (239) 599-2612

    Type: Mailing

  • 1907 S ALEXANDER ST STE 1

    PLANT CITY, FL 335660921

    Phone: (137) 543-3448

    Fax: (813) 754-3574

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 169 Open Payments records for all available years, with a total value of $3,105.

Total Amount is formed as General ($3,105) + Research ($0) + Ownership ($0) = $3,105.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($553).

Total Amount

$3,105

General + Research + Ownership

Payments

169

Total payment records

General Amount

$3,105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190823000135IFamily PracticeFLTBD
I20200909001467ISports MedicineALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes299142$0
J1100Injection, dexamethasone sodium phosphate, 1 mg15829$0
36415Insertion of needle into vein for collection of blood sample10873$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7676$0
G0444Annual depression screening, 5 to 15 minutes7474$0
View full utilization report →

Insurance plans in this area (ZIP 33613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830244433View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Family PracticeFL
-FL
-FL
-FL
-FL
Nurse PractitionerFL
-FL
Cardiovascular Disease (Cardiology), Internal MedicineFL

Reviews

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Frequently asked questions

Can I use this page to confirm DR. NICHOLAS DALTON HEATHSCOTT (MD)'s NPI?
Yes. DR. NICHOLAS DALTON HEATHSCOTT (MD) is listed with NPI 1104351626 in the public NPI dataset.
Can I rely on DR. NICHOLAS DALTON HEATHSCOTT (MD) being an active provider?
As of the registry snapshot, DR. NICHOLAS DALTON HEATHSCOTT (MD) is marked active.
What is DR. NICHOLAS DALTON HEATHSCOTT (MD) best known for clinically?
Directory data describes DR. NICHOLAS DALTON HEATHSCOTT (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for DR. NICHOLAS DALTON HEATHSCOTT (MD)?
DR. NICHOLAS DALTON HEATHSCOTT (MD)'s geographic hint is Tampa, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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