DR. NICHOLAS G PROIA (MD) – Pulmonary Disease Physician, NPI 1174542294
Pulmonary Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
850 PULMONARY DISEASE in OH
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Provider Addresses for DR. NICHOLAS G PROIA (MD)
Market Street, Newport Village, Boardman, Boardman Township, Mahoning County, Ohio, 44408, United States
BOARDMAN, OH 445126778
Phone: (330) 707-5864
Fax: (330) 707-2210
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $2,546.
Total Amount is formed as General ($2,546) + Research ($0) + Ownership ($0) = $2,546.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($659).
Total Amount
$2,546
General + Research + Ownership
Payments
126
Total payment records
General Amount
$2,546
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-05-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050513000074 | I | Pulmonary Disease | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 744 | 204 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 221 | 143 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 219 | 180 | $0 |
| 99291 | Critical care, first 30-74 minutes | 198 | 54 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 52 | 52 | $0 |
Insurance plans in this area (ZIP 44512)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | OH | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 12 | 12 |
| PULMONARY DISEASE | OH | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 32 | 32 |
| PULMONARY DISEASE | OH | 94727 | Determination of lung volumes using gas dilution or washout | 31 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| - | FL | |
| Critical Care (Intensivists), Pulmonary Disease | OH |
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