CHARLES J NICELY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1407858269
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
749 PATHOLOGY in OH
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Provider Addresses for CHARLES J NICELY (MD)
Riverside Methodist Hospital, 3535, Olentangy River Road, Riverview, Columbus, Sharon, Franklin, Ohio, 43214, United States
COLUMBUS, OH 432143908
Phone: (614) 566-4945
Fax: (614) 263-1056
Type: Location
PO BOX 20452
CORPATH CRED
COLUMBUS, OH 432200452
Phone: (614) 457-8180
Fax: (614) 583-3300
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $153.
Total Amount is formed as General ($153) + Research ($0) + Ownership ($0) = $153.
Last reported payment date: 2023-08-25 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($113).
Total Amount
$153
General + Research + Ownership
Payments
3
Total payment records
General Amount
$153
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $113 |
| Roche Diagnostics Corporation | $24 |
| Beckman Coulter, Inc. | $17 |
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: 2007-03-12
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 |
|---|---|---|---|---|
| I20070312000320 | I | Pathology | 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 |
|---|---|---|---|---|
| 84165 | Protein measurement, serum | 727 | 627 | $0 |
| 86334 | Immunologic analysis technique on serum (immunofixation) | 700 | 606 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 549 | 294 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 379 | 86 | $0 |
| 85060 | Blood smear interpretation by physician with written report | 194 | 178 | $0 |
Insurance plans in this area (ZIP 43214)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | OH | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 99 | 94 |
| PATHOLOGY | OH | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 136 | 113 |
| PATHOLOGY | OH | 88342 | Tissue or cell analysis by immunologic technique | 183 | 170 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH | |
| P A T H O L O G Y | OH |
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