NICHOLAS ANTHONY EBERLY – Otolaryngology Physician, NPI 1861887515

NICHOLAS ANTHONY EBERLY is a healthcare provider. based in Columbus, Ohio. specializing in OTOLARYNGOLOGY. They hold a License No. 34.013086 (OH). The NPI Number for NICHOLAS ANTHONY EBERLY is 1861887515

Main info

Male
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS ANTHONY EBERLY
NPI
1861887515
Phone
(614) 544-1000
Address
5100 W Broad St
Enumeration Date
31 March 2015
Last Update Date
23 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5136865392
Graduation Year
2015 (11 years ago)
PAC ID
6204102833
Group Practice PAC ID
3971907759
Professional Enrollment ID
I20200827002352
Address ID
OH450409555MA5075XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

537 OTOLARYNGOLOGY in OH

Provider Addresses for NICHOLAS ANTHONY EBERLY

  • 5100 W Broad St

    Columbus, OH 432281607

    Phone: (614) 544-1000

    Fax: (614) 544-1751

    Type: Location

  • 2960 MACK RD STE 205

    FAIRFIELD, OH 450145300

    Phone: (513) 825-5454

    Fax: (513) 825-5452

    Type: Mailing

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 $766.

Total Amount is formed as General ($766) + Research ($0) + Ownership ($0) = $766.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($356).

Total Amount

$766

General + Research + Ownership

Payments

11

Total payment records

General Amount

$766

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

Latest reported date

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: 2020-08-27

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
I20200827002352IOtolaryngologyOHTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes224185$0
69210Removal of impacted ear wax152131$0
99203New patient office or other outpatient visit, 30-44 minutes146146$0
99214Established patient office or other outpatient visit, 30-39 minutes122100$0
99204New patient office or other outpatient visit, 45-59 minutes8383$0
View full utilization report →

Insurance plans in this area (ZIP 43228)

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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: 3971907759View full group profile
NameSpecialtyState
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineOH
Infectious DiseaseOH
P S Y C H I A T R YOH
N E U R O L O G YOH
General SurgeryOH
Orthopedic Surgery, Sports MedicineOH
Surgical OncologyOH
Vascular SurgeryOH
Thoracic SurgeryCA
General SurgeryOH

Reviews

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Frequently asked questions

What is the standard ID for NICHOLAS ANTHONY EBERLY in the U.S.?
In the U.S., NICHOLAS ANTHONY EBERLY is identified by NPI 1861887515.
Is NICHOLAS ANTHONY EBERLY currently accepting referrals based on NPI status?
Registry metadata lists NICHOLAS ANTHONY EBERLY as active.
What type of care does NICHOLAS ANTHONY EBERLY provide?
NICHOLAS ANTHONY EBERLY's profile centers on Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit NICHOLAS ANTHONY EBERLY in Columbus, Ohio?
For routing, start with Columbus, Ohio for NICHOLAS ANTHONY EBERLY, then verify phone and hours locally.
Who maintains NICHOLAS ANTHONY EBERLY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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