BRUCE D. NICHOLSON (M.D.) – Pain Medicine (Anesthesiology) Physician, NPI 1669460481

BRUCE D. NICHOLSON (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials M.D.. They hold a License No. MD046894L (PA). The NPI Number for BRUCE D. NICHOLSON (M.D.) is 1669460481

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
BRUCE D. NICHOLSON (M.D.)
NPI
1669460481
Phone
(484) 884-4500
Address
PO BOX 783311
Enumeration Date
6 October 2005
Last Update Date
28 December 2018

Doctor Profile

Medical School Name
EASTERN VIRGINIA MEDICAL SCHOOL
Secondary Phone
6104021757
Graduation Year
1983 (43 years ago)
PAC ID
4385558113
Group Practice PAC ID
3072425123
Professional Enrollment ID
I20101014000668
Address ID
PA181036206AL1259XBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,823 ANESTHESIOLOGY in PA

Provider Addresses for BRUCE D. NICHOLSON (M.D.)

  • American Box and Recycling, Philadelphia, Philadelphia County, Pennsylvania, United States

    PHILADELPHIA, PA 191783311

    Phone: (484) 884-4500

    Fax: (484) 884-0699

    Type: Mailing

  • 1259 S CEDAR CREST BLVD STE 317

    ALLENTOWN, PA 18103

    Phone: (610) 402-1757

    Fax: (610) 402-9089

    Type: Location

  • 1240 S Cedar Crest Blvd

    Suite #307

    Allentown, PA 181036218

    Phone: (610) 402-1757

    Fax: (610) 402-9089

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $6,129.

Total Amount is formed as General ($6,129) + Research ($0) + Ownership ($0) = $6,129.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($5,397).

Total Amount

$6,129

General + Research + Ownership

Payments

53

Total payment records

General Amount

$6,129

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

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: 2010-10-14

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
I20101014000668IAnesthesiologyPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes378236$0
62323Injection of substance into lower spine canal using imaging guidance10991$0
99204New patient office or other outpatient visit, 45-59 minutes7777$0
99442Telephone medical discussion with physician, 11-20 minutes5042$0
64493Injection of lower or sacral spine facet joint using imaging guidance, single level3321$0
View full utilization report →

Insurance plans in this area (ZIP 19178)

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Provider's Procedures

BRUCE D. NICHOLSON (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYPA62311Injections of substances into lower or sacral spine293218
ANESTHESIOLOGYPA64493Injections of lower or sacral spine facet joint using imaging guidance1414

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: 3072425123View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to BRUCE D. NICHOLSON (M.D.)?
NPI 1669460481 is assigned to BRUCE D. NICHOLSON (M.D.) under the national enumeration system.
Is BRUCE D. NICHOLSON (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does BRUCE D. NICHOLSON (M.D.) list a primary specialty?
If you are matching referrals, note Pain Medicine (Anesthesiology) Physician for BRUCE D. NICHOLSON (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for BRUCE D. NICHOLSON (M.D.)?
We surface Philadelphia, Pennsylvania for BRUCE D. NICHOLSON (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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