Active NPI 1750611794 Individual Practitioner Male Practitioner

Dr. Warren Russell Nickerson , MD

General Practice • Brockton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Warren Nickerson, MD is a registered healthcare professional specializing in General Practice in Brockton, MA. Practice services are available at 1 PEARL ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less, removal of tissue from wound, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Pearl St

Brockton, MA 023012864

Telephone 5085844107

Associated Practice Facility / Clinic

🏢 National Athletic Training & Fitness Institute Inc Facility NPI 1467430629

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Brockton, MA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 30.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Brockton, MA (160 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	74	$136.00	$38.78
11042 Removal of skin and tissue, 20.0 sq cm or less	32	28	$354.00	$63.47
97597 Removal of tissue from wound, 20.0 sq cm or less	23	22	$286.70	$38.78
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$224.00	$72.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	52	$136.00	$38.18
11042 Removal of skin and tissue, 20.0 sq cm or less	22	18	$354.00	$60.74
97597 Removal of tissue from wound, 20.0 sq cm or less	15	14	$220.00	$38.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	15	$136.00	$28.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	73	53	$136.00	$27.07
11042 Removal of skin and tissue, 20.0 sq cm or less	51	34	$354.00	$66.53
97597 Removal of tissue from wound, 20.0 sq cm or less	19	17	$220.00	$24.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	37	$136.00	$27.42
11042 Removal of skin and tissue, 20.0 sq cm or less	44	19	$354.00	$67.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	22	$136.00	$27.42
97597 Removal of tissue from wound, 20.0 sq cm or less	17	11	$220.00	$25.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	318	131	$136.00	$25.96
11042 Removal of skin and tissue, 20.0 sq cm or less	145	75	$354.00	$64.59
99183 Management and supervision of oxygen chamber therapy per session	120	11	$678.00	$113.72
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	91	23	$468.00	$88.90
97597 Removal of tissue from wound, 20.0 sq cm or less	73	43	$220.00	$23.61
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	59	20	$130.00	$27.07
15275 Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less	54	18	$497.00	$100.54
99213 Established patient office or other outpatient visit, typically 15 minutes	47	42	$224.00	$52.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$333.00	$79.04

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MA 29149

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

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

40 Associated Practitioners

Christine Lattuada , PNP

Nurse Practitioner - Pediatrics

NPI 1003113291

Pediatric Nurse Practitioner

Dr. Jane Butlin , MD

Internal Medicine

NPI 1013990050

Doctor of Medicine (M.D.)

Dr. Zwi Hoch , MD

Obstetrics & Gynecology

NPI 1023004595

Doctor of Medicine (M.D.)

Dr. Jolly Abeskheron , MD

Internal Medicine

NPI 1033476627

Doctor of Medicine (M.D.)

Dr. Philip Cohen , MD

Surgery

NPI 1043200892

Doctor of Medicine (M.D.)

Dr. Chester Hedgepeth , MD

Internal Medicine - Cardiovascular Disease

NPI 1063409233

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 03, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 03, 2014

Registered at 1 PEARL ST, BROCKTON, MA 023012864 (Tel: 5085844107)

📍

Updated Business Mailing Address June 03, 2014

Registered at 24 HANNAH CIRCLE, COTUIT, MA 02635 (Tel: 5084282085)

👤

Provider Name / Credentials Updated June 03, 2014

Recorded as WARREN NICKERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2014

General Practice (License #29149 in MA)

🟢

Initial NPI Registration & Enumeration January 13, 2010

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: 1750611794

Entity Type:

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

Enumeration Date: January 13, 2010

Last Update: June 03, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

24 Hannah Circle

Cotuit, MA 02635

Phone: 5084282085

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.