Dontese Nicholson, MD
NPI 1215180328 · Interventional Pain Medicine Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Interventional Pain Management · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dontese Nicholson, MD is a Interventional Pain Medicine Physician provider in Baltimore, MD (NPI 1215180328).
Provider details
- NPI number
- 1215180328
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D0074632 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
213 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 76 | $101 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $143 |
| Anesthesia for Lens Surgery00142 | 19 | $115 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 15 | $158 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 15 | $61 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 32 | 28 |
| Oxycodone Hcl | 28 | 25 |
| Gabapentin | 16 | 14 |
| Tramadol Hcl | 15 | 14 |
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.
$3,830 across 52 records (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
Registry dates
- Enumerated
- 2008-11-03
- Last updated
- 2021-06-18
- Certified
- 2021-06-18
Frequently asked questions
- What is Dontese Nicholson's NPI number?
- Dontese Nicholson's National Provider Identifier (NPI) is 1215180328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dontese Nicholson's specialty?
- Dontese Nicholson is listed in the NPPES registry with a primary specialty of Interventional Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dontese Nicholson located?
- Dontese Nicholson's practice location on file with NPPES is 6820 Hospital Dr, Baltimore, MD 21237-4352.
- What is Dontese Nicholson's phone number?
- The practice phone number listed in the NPPES registry for Dontese Nicholson is (410) 682-2823.
- Does Dontese Nicholson accept Medicare?
- Dontese Nicholson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Dontese Nicholson's NPI active?
- Yes — Dontese Nicholson's NPI (1215180328) is active in the NPPES registry as of the last update on 2021-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.