Active NPI 1093740599 Individual Practitioner Female Practitioner

Dr. Grace Niklas , MD

Internal Medicine • Hingham, MA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Grace Niklas, MD is a certified Internal Medicine practicing in Hingham, MA. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Niklas delivers high-quality medical care to the local community at 210 WHITING ST.

Dr. Niklas accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

210 Whiting St
Suite 4

Hingham, MA 020433724

Telephone 7817496131

Fax 7817496167

Associated Practice Facility / Clinic

🏢 Grace Niklas Facility NPI 1740475508

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Hingham, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +14.0 yrs vs City Avg

City Avg: 33.0 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Hingham, MA (7127 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Niklas (47 Years) 47 Yrs

Hingham Specialty Average (33.0 Years) 33.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	253	$349.79	$129.53
36415 Insertion of needle into vein for collection of blood sample	298	207	$25.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	238	238	$250.00	$131.00
99213 Established patient office or other outpatient visit, typically 15 minutes	162	105	$250.00	$91.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$277.00	$166.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	365	244	$303.56	$130.82
36415 Insertion of needle into vein for collection of blood sample	285	212	$25.00	$8.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	245	245	$250.00	$131.85
99213 Established patient office or other outpatient visit, typically 15 minutes	181	121	$250.00	$92.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	37	25	$120.00	$53.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$250.00	$168.19
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$277.00	$168.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	408	254	$300.00	$133.36
36415 Insertion of needle into vein for collection of blood sample	288	211	$25.00	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$250.00	$135.67
99213 Established patient office or other outpatient visit, typically 15 minutes	227	147	$250.00	$94.15
99441 Telephone medical discussion with physician, 5-10 minutes	23	12	$150.00	$58.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	19	$120.00	$55.23
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$250.00	$173.17
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$277.00	$173.14
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$100.00	$14.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	305	213	$25.00	$3.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	218	$300.00	$135.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$250.00	$138.45
99213 Established patient office or other outpatient visit, typically 15 minutes	159	106	$250.00	$95.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	24	$120.00	$55.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$277.00	$175.60
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$250.00	$175.23
93000 Routine ekg using at least 12 leads including interpretation and report	14	14	$100.00	$15.56
99496 Transitional care management services for problem of high complexity	14	14	$450.00	$292.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	256	189	$25.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	239	182	$300.00	$113.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	238	238	$250.00	$121.63
99213 Established patient office or other outpatient visit, typically 15 minutes	93	70	$250.00	$77.82
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	22	$120.00	$56.07
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$250.00	$178.13
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$277.00	$175.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	383	229	$294.99	$114.84
36415 Insertion of needle into vein for collection of blood sample	346	243	$25.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$250.00	$123.20
99213 Established patient office or other outpatient visit, typically 15 minutes	43	33	$245.35	$78.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	26	$120.00	$56.40
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$250.00	$181.42
90670 Pneumococcal vaccine for injection into muscle	15	15	$375.00	$209.02
G0009 Administration of pneumococcal vaccine	14	14	$50.00	$18.04
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$277.00	$175.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	183	$276.51	$112.52
36415 Insertion of needle into vein for collection of blood sample	313	231	$25.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$250.00	$122.09
99213 Established patient office or other outpatient visit, typically 15 minutes	86	55	$226.45	$76.32
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	31	$120.00	$56.40
90670 Pneumococcal vaccine for injection into muscle	34	34	$334.56	$197.06
G0009 Administration of pneumococcal vaccine	33	33	$50.00	$23.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$278.00	$173.62
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$250.00	$179.26
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	17	17	$60.00	$26.72
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$100.00	$17.88
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$42.00	$18.06
99496 Transitional care management services for problem of high complexity	13	13	$450.00	$243.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	193	$275.00	$111.01
36415 Insertion of needle into vein for collection of blood sample	370	273	$25.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	244	244	$247.54	$119.76
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	109	60	$60.00	$26.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	40	$350.00	$76.33
85610 Blood test, clotting time	82	11	$50.00	$5.28
99213 Established patient office or other outpatient visit, typically 15 minutes	78	36	$225.00	$75.56
90670 Pneumococcal vaccine for injection into muscle	61	61	$302.87	$186.00
G0009 Administration of pneumococcal vaccine	59	59	$50.00	$28.66
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	38	27	$120.00	$55.76
99496 Transitional care management services for problem of high complexity	34	26	$450.00	$239.02
99239 Hospital discharge day management, more than 30 minutes	29	23	$600.00	$114.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$248.80	$176.33
93000 Routine ekg using at least 12 leads including interpretation and report	23	21	$100.00	$17.66
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$277.00	$171.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$450.00	$144.84

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 50515

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3000010 (MA)

Practice Associates & Co-Workers

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

8 Associated Practitioners

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DDSMSD

Phoebe Teare , LMHC

Counselor - Mental Health

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Licensed Mental Health Counselor

Dr. Robert Beckhardt , MD

Psychiatry & Neurology - Psychiatry

NPI 1386704880

Doctor of Medicine (M.D.)

Maureen Mcgettigan , LICSW

Social Worker - Clinical

NPI 1407053838

Licensed Independent Clinical Social Worker

Carole Marsh , LICSW

Social Worker - Clinical

NPI 1528128576

Licensed Independent Clinical Social Worker

Diane Fassak , LICSW

Social Worker - Clinical

NPI 1720131212

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 05, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location December 05, 2007

Registered at 210 WHITING ST, SUITE 4, HINGHAM, MA 020433724 (Tel: 7817496131)

📍

Updated Business Mailing Address December 05, 2007

Registered at 210 WHITING ST, SUITE 4, HINGHAM, MA 020433724 (Tel: 7817496131)

👤

Provider Name / Credentials Updated December 05, 2007

Recorded as GRACE NIKLAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2007

Internal Medicine (License #50515 in MA)

🟢

Initial NPI Registration & Enumeration July 12, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1093740599

Entity Type:

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

Enumeration Date: July 12, 2006

Last Update: December 05, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

210 Whiting St, Suite 4

Hingham, MA 020433724

Phone: 7817496131

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.