James Nicholson, M.D.
NPI 1043251655ActiveIndividual· Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery· East Setauket, NY
Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (M.D.) in East Setauket, New York, trained at Drexel University College of Medicine (class of 1999). 1,272 Medicare patients in 2024, $731,571 paid; nearly all of their 180 Part D prescriptions were generic (99%). Zimmer Biomet Holdings, Inc. was the largest of 2 companies reporting payments in 2025, $202.33 in all, mostly food and beverage.
Overview
| NPI | 1043251655 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 8, 2006 |
| Last updated in NPPES | Jul 13, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery Primary | 207XS0114X | 236798 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,272 |
|---|---|
| Services billed | 5,024 across 49 procedure codes |
| Paid by Medicare | $731,571 |
Part D prescriptions in 2024
| Prescriptions (claims) | 180 · 270 30-day fills |
|---|---|
| Patients | 117 |
| Total drug cost | $8,439 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Drexel University College of Medicine |
|---|---|
| Graduation year | 1999 |
| Medicare specialty | Orthopedic Surgery |
Medical group
- Stony Brook Orthopaedic Associates, University Faculty Practice CorporEast Setauket, NY · 49 clinicians
Hospital affiliations
- St Charles HospitalPort Jefferson, NY
- Suny/Stony Brook University HospitalStony Brook, NY
Other facilities
- Catholic Home CareHome health agency · Farmingdale, NY
- Centerwell Home HealthHome health agency · Hauppauge, NY
- Tender Loving Care, An Amedisys CompanyHome health agency · Medford, NY
Industry payments (Open Payments)
- 2025$202.33 · 3 payments from 2 companies
- 2024$903.13 · 10 payments from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Zimmer Biomet Holdings, Inc. | $105.65 | 1 |
| Stryker Corporation | $96.68 | 2 |
What the 2025 payments were for
- Food and Beverage$202.33 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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