MAURICE EUGENE NIDA (DO) – Internal Medicine Physician, NPI 1285601344

MAURICE EUGENE NIDA (DO) is a healthcare provider. based in Kingsport, Tennessee. specializing in INTERNAL MEDICINE. They hold the professional credentials DO. They hold a License No. 0102049965 (VA). The NPI Number for MAURICE EUGENE NIDA (DO) is 1285601344

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
MAURICE EUGENE NIDA (DO)
NPI
1285601344
Phone
(423) 224-3250
Address
999 EXECUTIVE PARK BLVD
Enumeration Date
7 March 2006
Last Update Date
7 September 2012

Doctor Profile

Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
2769260200
Graduation Year
1983 (43 years ago)
PAC ID
9931279981
Group Practice PAC ID
8921096561
Professional Enrollment ID
I20080602000888
Address ID
VA242286786CL364XXDRXX300
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

4,934 INTERNAL MEDICINE in VA

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Provider Addresses for MAURICE EUGENE NIDA (DO)

  • 999, Executive Park Boulevard, Preston Forest, Kingsport, Sullivan County, Tennessee, 37660, United States

    SUITE 201

    KINGSPORT, TN 376604632

    Phone: (423) 224-3250

    Fax: (423) 224-3258

    Type: Mailing

  • Wharton Lane, Norton, Virginia, 24273, United States

    NORTON, VA 242731541

    Phone: (276) 679-0321

    Fax: (276) 679-6498

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2024-03-04 • Largest payer in this snapshot: Abbott Laboratories ($25).

Total Amount

$77

General + Research + Ownership

Payments

4

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-04

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: 2008-06-02

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
I20080602000888IInternal MedicineVATBD

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 minutes11167$0
99213Established patient office or other outpatient visit, 20-29 minutes5747$0
36415Insertion of needle into vein for collection of blood sample4935$0
J0696Injection, ceftriaxone sodium, per 250 mg4811$0
96372Injection of drug or substance under skin or into muscle2617$0
View full utilization report →

Insurance plans in this area (ZIP 37660)

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Provider's Procedures

MAURICE EUGENE NIDA (DO) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEVA20610Aspiration and/or injection of large joint or joint capsule1313
INTERNAL MEDICINEVA73630X-ray of foot, minimum of 3 views1515
INTERNAL MEDICINEVA83036Hemoglobin A1C level5146
INTERNAL MEDICINEVA90670Pneumococcal vaccine for injection into muscle5958
INTERNAL MEDICINEVA95117Injection of incremental dosages of allergen, 2 or more injections14213

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: 8921096561View full group profile
NameSpecialtyState
Nurse PractitionerTN
P S Y C H I A T R YTN
P S Y C H I A T R YVA
Nurse PractitionerVA
Nurse PractitionerVA
P S Y C H I A T R YDE
P S Y C H I A T R YSC

Reviews

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Frequently asked questions

How do I look up MAURICE EUGENE NIDA (DO) by NPI?
Use NPI 1285601344 when you need to reference MAURICE EUGENE NIDA (DO) in forms, claims, or directories.
Is MAURICE EUGENE NIDA (DO) currently active in the NPI registry?
CMS-published data lists MAURICE EUGENE NIDA (DO) as an active registrant.
Does MAURICE EUGENE NIDA (DO) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for MAURICE EUGENE NIDA (DO). Clinical services aligned with this taxonomy classification.
Does MAURICE EUGENE NIDA (DO) practice in Tennessee?
You will see Kingsport, Tennessee on file for MAURICE EUGENE NIDA (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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