NICHOLAS INGHAM – Medical Physician Assistant, NPI 1760094767

NICHOLAS INGHAM is a healthcare provider. based in Tampa, Florida. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA9114524 (FL). The NPI Number for NICHOLAS INGHAM is 1760094767

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS INGHAM
NPI
1760094767
Phone
(813) 324-1911
Address
3225 S MACDILL AVE STE 129300
Enumeration Date
20 August 2020
Last Update Date
19 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8139880033
Graduation Year
2020 (6 years ago)
PAC ID
2466858303
Group Practice PAC ID
8729341847
Professional Enrollment ID
I20210901001795
Address ID
FL336174012TA5121XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for NICHOLAS INGHAM

  • 3225 S MACDILL AVE STE 129300

    TAMPA, FL 336298171

    Phone: (813) 324-1911

    Type: Mailing

  • 10 LONGWOOD AVE

    PEABODY, MA 019606631

    Phone: (978) 587-5581

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: UCB, Inc. ($159).

Total Amount

$521

General + Research + Ownership

Payments

4

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2021-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20210901001795IPhysician AssistantFLTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,334486$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes778149$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes222222$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes19999$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes112110$0
View full utilization report →

Insurance plans in this area (ZIP 33629)

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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: 8729341847View full group profile
NameSpecialtyState
Nurse PractitionerFL
N E U R O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Nurse PractitionerFL
Physician AssistantFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICHOLAS INGHAM?
NICHOLAS INGHAM — NPI 1760094767 — is the standard way to identify this listing.
Does CMS list NICHOLAS INGHAM as active?
Yes — NICHOLAS INGHAM is active in the NPI listing used on this page.
What is NICHOLAS INGHAM best known for clinically?
Directory data describes NICHOLAS INGHAM with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for NICHOLAS INGHAM?
NICHOLAS INGHAM's geographic hint is Tampa, Florida in our summary view.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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