NICHOLAS CHARLES CAMERON (DO) – Plastic Surgery within the Head & Neck (Otolaryngology) Physician, NPI 1801353990

NICHOLAS CHARLES CAMERON (DO) is a healthcare provider. based in Dayton, Ohio. specializing in OTOLARYNGOLOGY. They hold the professional credentials DO. They hold a License No. 5101027798 (MI). The NPI Number for NICHOLAS CHARLES CAMERON (DO) is 1801353990

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS CHARLES CAMERON (DO)
NPI
1801353990
Phone
(937) 723-3245
Address
405 W GRAND AVE
Enumeration Date
25 February 2019
Last Update Date
12 December 2024

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Secondary Phone
6169942770
Graduation Year
2019 (7 years ago)
PAC ID
8123360955
Group Practice PAC ID
4183868094
Professional Enrollment ID
I20240724003583
Address ID
MI495256001GR739XXNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

537 OTOLARYNGOLOGY in OH

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Provider Addresses for NICHOLAS CHARLES CAMERON (DO)

  • Grandview Medical Center, 405, West Grand Avenue, Steeles Hill-Grafton Hill Historic District, Daytonview, Dayton, Montgomery County, Ohio, 45405, United States

    DAYTON, OH 454057538

    Phone: (937) 723-3245

    Type: Mailing

  • 3100 N WELLNESS DR

    HOLLAND, MI 494248122

    Phone: (616) 994-2770

    Type: Mailing

  • 3501 Rivertown Point Ct SW

    Grandville, MI 494183038

    Phone: (616) 994-2770

    Fax: (616) 920-6533

    Type: Location

  • 739 E BELTLINE AVE NE

    GRAND RAPIDS, MI 495256045

    Phone: (616) 994-2770

    Fax: (616) 920-6533

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Stryker Corporation ($198).

Total Amount

$489

General + Research + Ownership

Payments

11

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-01

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: 2024-07-24

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
I20240724003583IOtolaryngologyMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45405)

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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: 4183868094View full group profile
NameSpecialtyState
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantMI
Qualified AudiologistMI
Qualified AudiologistMI
Physical Therapist In Private PracticeMI
Qualified AudiologistMI
Physician AssistantMI
Physician AssistantFL
O T O L A R Y N G O L O G YMI

Reviews

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Frequently asked questions

Where can patients find NICHOLAS CHARLES CAMERON (DO)'s NPI?
You can confirm NICHOLAS CHARLES CAMERON (DO) with NPI 1801353990; it appears in the national provider directory.
Is NICHOLAS CHARLES CAMERON (DO)'s NPI currently valid?
The extract we use shows NICHOLAS CHARLES CAMERON (DO) as active.
What kind of provider is NICHOLAS CHARLES CAMERON (DO)?
The page reflects Plastic Surgery within the Head & Neck (Otolaryngology) Physician for NICHOLAS CHARLES CAMERON (DO). Clinical services aligned with this taxonomy classification.
Where is NICHOLAS CHARLES CAMERON (DO)'s primary listing?
We display Dayton, Ohio because that is what the record indicates for NICHOLAS CHARLES CAMERON (DO).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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