Active NPI 1861432668 Individual Practitioner Male Practitioner

Jeff Nicoletti , PA

Physician Assistant • Biddeford, ME

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jeff Nicoletti, PA is a certified Physician Assistant practicing in Biddeford, ME. With approximately 21 years of clinical experience since completing medical education in 2005, Jeff Nicoletti delivers high-quality medical care to the local community at 10 WELLSPRING ROAD.

Jeff Nicoletti is affiliated with Mainehealth and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, treatment of broken neck of thigh bone with bone implant. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10 Wellspring Road

Biddeford, ME 04005

Telephone 2072831126

Associated Practice Facility / Clinic

🏢 Orthopedic Surgery Assoc Pa Facility NPI 1790768703

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Biddeford, ME

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +14.4 yrs vs City Avg

City Avg: 6.6 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

41 Specialists

Practicing in Biddeford, ME (992 Statewide)

Telehealth Adoption Rate

9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicoletti (21 Years) 21 Yrs

Biddeford Specialty Average (6.6 Years) 6.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	87	79	$208.77	$69.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	33	29	$160.06	$66.40
27245 Treatment of broken neck of thigh bone with bone implant	17	17	$680.94	$159.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$236.75	$96.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$299.91	$112.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99221 Initial hospital inpatient care per day, typically 30 minutes	57	56	$203.92	$69.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$278.37	$109.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$144.24	$66.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	12	$81.97	$41.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	180	126	$101.97	$56.48
73562 X-ray of knee, 3 views	125	84	$18.69	$7.92
20610 Aspiration and/or injection of fluid from large joint	101	61	$116.56	$42.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$54.28	$30.45
73502 X-ray of hip, 2-3 views	34	30	$22.66	$9.34
27447 Replacement of knee joint, both sides of knee	23	21	$694.91	$172.75
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$201.88	$83.84
27130 Replacement of thigh bone and hip joint with prosthesis	14	14	$686.50	$172.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	133	$99.86	$57.37
73562 X-ray of knee, 3 views	132	90	$18.18	$7.98
20610 Aspiration and/or injection of fluid from large joint	90	59	$112.84	$43.53
73502 X-ray of hip, 2-3 views	67	52	$22.14	$9.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	33	$50.41	$30.65
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$197.12	$84.87
27447 Replacement of knee joint, both sides of knee	18	18	$669.08	$175.01
27130 Replacement of thigh bone and hip joint with prosthesis	16	14	$670.25	$175.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$152.38	$84.87
72170 X-ray of pelvis, 1-2 views	11	11	$17.05	$7.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	95	$99.00	$44.07
20610 Aspiration and/or injection of fluid from large joint	48	34	$108.75	$43.69
73560 X-ray of knee, 1-2 views	45	33	$16.36	$7.50
73562 X-ray of knee, 3 views	36	30	$18.00	$8.27
73502 X-ray of hip, 2-3 views	33	22	$22.00	$9.80
27447 Replacement of knee joint, both sides of knee	27	25	$665.75	$187.25
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$195.85	$87.15
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	11	$599.44	$165.19
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$720.82	$187.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	90	67	$73.00	$43.37
20610 Aspiration and/or injection of fluid from large joint	56	36	$112.50	$44.10
27447 Replacement of knee joint, both sides of knee	20	20	$999.50	$184.93
73562 X-ray of knee, 3 views	17	16	$16.82	$8.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$34.75	$21.63
73560 X-ray of knee, 1-2 views	16	12	$25.00	$7.25
73502 X-ray of hip, 2-3 views	15	15	$22.00	$9.69
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$156.60	$85.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	48	33	$107.31	$40.64
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$58.53	$43.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	40	$29.13	$21.35
27447 Replacement of knee joint, both sides of knee	38	37	$963.25	$182.70
73562 X-ray of knee, 3 views	22	20	$15.86	$8.43
73560 X-ray of knee, 1-2 views	21	15	$24.14	$7.18
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$892.75	$183.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	47	33	$95.15	$40.84
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	39	$29.00	$21.25
99213 Established patient office or other outpatient visit, typically 15 minutes	44	42	$58.00	$42.65
27447 Replacement of knee joint, both sides of knee	38	37	$917.18	$181.59
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$834.88	$181.66
73562 X-ray of knee, 3 views	15	14	$15.00	$8.03
27245 Treatment of broken neck of thigh bone with bone implant	14	13	$833.23	$164.95
73560 X-ray of knee, 1-2 views	13	11	$25.85	$7.68
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$116.00	$84.35

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License ME PA-885

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Anthem

061436 (ME)

Hospital & Practice Group Affiliations

Mainehealth

22 Bramhall St, Portland, ME 041023134

Phone: 2078859905

Mainehealth

1 Medical Ctr Dr, Biddeford, ME 040059422

Phone: 2072824270

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Dr. David Johnson , MD

Orthopaedic Surgery

NPI 1093728677

Doctor of Medicine (M.D.)

Dr. David Markellos , MD

Orthopaedic Surgery

NPI 1285678789

Doctor of Medicine (M.D.)

Nicole Grady , PA, ATC

Physician Assistant - Surgical

NPI 1356843940

Physician Assistant, Certified Athletic Trainer

Dr. Christian Basque , MD

Family Medicine - Sports Medicine

NPI 1366731648

Doctor of Medicine (M.D.)

Dr. Peter Dollard , MD

Orthopaedic Surgery

NPI 1417997222

Doctor of Medicine (M.D.)

Eric Smith , PA

Physician Assistant - Surgical

NPI 1447547864

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 11, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2009

Registered at 10 WELLSPRING ROAD, BIDDEFORD, ME 04005 (Tel: 2072831126)

📍

Updated Business Mailing Address November 11, 2009

Registered at 9 HEALTHCARE DRIVE, SUITE 201, BIDDEFORD, ME 04005 (Tel: 2072829880)

👤

Provider Name / Credentials Updated November 11, 2009

Recorded as JEFF NICOLETTI, P.A.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2009

Physician Assistant (License #PA-885 in ME)

🟢

Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861432668

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 08, 2006

Last Update: November 11, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

9 Healthcare Drive, Suite 201

Biddeford, ME 04005

Phone: 2072829880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.