Nicholas Ryan Fiacco
NPI 1093042095ActiveIndividual· Internal Medicine· Chapel Hill, NC
Internal Medicine in Chapel Hill, North Carolina, trained at Mercer University School of Medicine (class of 2013). Their prescriptions cost Medicare Part D more than their services did: $174,055 for 317 claims, against $8,950 paid for services in 2024. Sequel Med Tech, LLC reported $201.76 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1093042095 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 11, 2009 |
| Last updated in NPPES | Dec 5, 2023 |
| Certified by provider | Oct 5, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 201801251 | NC |
| Internal Medicine | 207R00000X | 0101256953 | VA |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | 201801251 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Endocrinology (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 133 across 12 procedure codes |
| Paid by Medicare | $8,950 |
Part D prescriptions in 2024
| Prescriptions (claims) | 317 · 696 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $174,055 |
| Generic share | 45% of claims |
Education and affiliations
| Medical school | Mercer University School of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Endocrinology |
| Secondary specialties | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Forsyth Medical Group, LLCGreensboro, NC · 48 clinicians
Industry payments (Open Payments)
- 2025$201.76 · 1 payment from 1 company
- 2024$49.26 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Sequel Med Tech, LLC | $201.76 | 1 |
What the 2025 payments were for
- Food and Beverage$201.76 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 235 internal medicine physicians in Chapel Hill · All internal medicine physicians in North Carolina