Mateo F. Nicholson, DO
NPI 1659833366ActiveIndividual· Physical Medicine & Rehabilitation· Fort Wayne, IN
Physical Medicine & Rehabilitation (DO) in Fort Wayne, Indiana, trained at Lake Erie College of Osteopathic Medicine, Erie (class of 2019). Mostly services rather than prescriptions: Medicare paid $12,274 for 44 patients in 2024, with only 21 Part D claims. Distalmotion US reported $16.90 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1659833366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 2, 2019 |
| Last updated in NPPES | Oct 2, 2024 |
| Certified by provider | Oct 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 02007853A | IN |
| Internal Medicine | 207R00000X | 125074919 | IL |
| Student in an Organized Health Care Education/Training Program | 390200000X | 33866 | MN |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | 75957-21 | WI |
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 - Physical Medicine and Rehabilitation (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 44 |
|---|---|
| Services billed | 176 across 6 procedure codes |
| Paid by Medicare | $12,274 |
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 27 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $270.17 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | Lake Erie College of Osteopathic Medicine, Erie |
|---|---|
| Graduation year | 2019 |
| Medicare specialty | Physical Medicine And Rehabilitation |
Medical group
- Parkview Health System IncFort Wayne, IN · 1,377 clinicians
Hospital affiliations
- Parkview Dekalb HospitalAuburn, IN
- Parkview Regional Medical CenterFort Wayne, IN
Other facilities
- Parkview HospitalInpatient rehabilitation facility · Fort Wayne, IN
Industry payments (Open Payments)
- 2025$16.90 · 1 payment from 1 company
- 2024$22.33 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Distalmotion US | $16.90 | 1 |
What the 2025 payments were for
- Food and Beverage$16.90 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 44 physiatrists in Fort Wayne · All physiatrists in Indiana