Nicholas Placone
NPI 1023513009 · Gastroenterology Physician · San Luis Obispo, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Placone is a Gastroenterology Physician provider in San Luis Obispo, CA (NPI 1023513009).
Provider details
- NPI number
- 1023513009
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
8 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
261 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 42 | $90 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 40 | $172 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 39 | $240 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 35 | $120 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 33 | $115 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 38 | 26 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$149 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (3)
- 850 Fair Oaks Ave Ste 220Arroyo Grande, CA 93420Phone: (805) 434-5530Fax: (805) 434-0023
- 4150 V St # 1100Sacramento, CA 95817-1460Phone: (916) 734-2737
- 350 Posada Ln Ste 202Templeton, CA 93465Phone: (805) 434-5530Fax: (805) 434-0023
Registry dates
- Enumerated
- 2018-03-29
- Last updated
- 2024-10-02
- Certified
- 2024-10-02
Frequently asked questions
- What is Nicholas Placone's NPI number?
- Nicholas Placone's National Provider Identifier (NPI) is 1023513009, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Placone's specialty?
- Nicholas Placone is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Placone located?
- Nicholas Placone's practice location on file with NPPES is 1551 Bishop St Ste 230, San Luis Obispo, CA 93401.
- What is Nicholas Placone's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Placone is (805) 434-5530.
- Does Nicholas Placone accept Medicare?
- Nicholas Placone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Placone's NPI active?
- Yes — Nicholas Placone's NPI (1023513009) is active in the NPPES registry as of the last update on 2024-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.