Active NPI 1619115458 Individual Practitioner Male Practitioner

Marc Nicoloff , PA-C

Physician Assistant • Maplewood, MN

Professional Overview & Biography Verified Profile Summary

Marc Nicoloff, PA-C is a registered healthcare professional specializing in Physician Assistant in Maplewood, MN. Practice services are available at 1600 SAINT JOHNS BLVD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 Saint Johns Blvd
Suite 201

Maplewood, MN 551091183

Telephone 6517478500

Fax 6517478501

Associated Practice Facility / Clinic

🏢 Pdg, P.a. Facility NPI 1982762423

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Maplewood, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 8.3 Yrs

State Avg: 10.9 Yrs

Regional Practice Density

56 Specialists

Practicing in Maplewood, MN (4026 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% 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 (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	215	213	$288.90	$75.18
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	207	192	$62.60	$13.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	59	$408.50	$106.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$532.50	$136.23
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$359.00	$91.68
99442 Telephone medical discussion with physician, 11-20 minutes	29	28	$218.40	$75.26
99443 Telephone medical discussion with physician, 21-30 minutes	12	12	$319.20	$105.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	176	$279.70	$75.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$346.00	$91.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	39	$394.40	$106.38
99442 Telephone medical discussion with physician, 11-20 minutes	38	38	$218.40	$75.65
99443 Telephone medical discussion with physician, 21-30 minutes	23	22	$319.20	$106.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$515.30	$138.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	200	194	$266.40	$75.89
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$326.00	$92.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	35	$378.70	$105.54
99442 Telephone medical discussion with physician, 11-20 minutes	28	28	$208.00	$76.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$490.00	$140.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	162	$210.00	$77.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	57	$127.00	$47.44
99442 Telephone medical discussion with physician, 11-20 minutes	34	34	$208.00	$78.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$301.00	$93.12
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$213.00	$62.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$304.00	$110.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	160	151	$208.00	$63.27
99441 Telephone medical discussion with physician, 5-10 minutes	93	92	$126.00	$38.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$303.00	$91.70
99442 Telephone medical discussion with physician, 11-20 minutes	28	27	$208.00	$63.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$304.00	$89.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$126.00	$39.00
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$214.00	$65.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	357	339	$199.00	$62.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$294.00	$90.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	30	$293.00	$92.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	207	191	$186.00	$60.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$278.00	$89.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$275.00	$90.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	129	$186.00	$60.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	56	53	$275.00	$88.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$423.00	$132.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$278.00	$89.33

Medical Specialties & State Licenses

CMS Verified: 2021-03-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

16 Associated Practitioners

Jacqueline Bryant , RN

Registered Nurse

NPI 1063429298

Registered Nurse

Dr. Jana Voss , DDS

Dentist - General Practice

NPI 1124187620

Doctor of Dental Surgery

Dr. William Vold , DDS

Dentist - General Practice

NPI 1255490751

Doctor of Dental Surgery

Patricia Nord , RN

Registered Nurse

NPI 1326056565

Registered Nurse

Carrie Ardolf , RN

Registered Nurse

NPI 1336253012

Registered Nurse

Dr. Viola Tracy , MD

Internal Medicine - Pulmonary Disease

NPI 1366694655

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 November 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location November 27, 2012

Registered at 1600 SAINT JOHNS BLVD, SUITE 201, MAPLEWOOD, MN 551091183 (Tel: 6517478500)

📍

Updated Business Mailing Address November 27, 2012

Registered at 225 SMITH AVE N, SUITE 300, SAINT PAUL, MN 551022533 (Tel: 6517266200)

👤

Provider Name / Credentials Updated November 27, 2012

Recorded as MARC NICOLOFF, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 27, 2012

Physician Assistant

🟢

Initial NPI Registration & Enumeration February 02, 2009

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: 1619115458

Entity Type:

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

Enumeration Date: February 02, 2009

Last Update: March 11, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 Smith Ave N, Suite 300

Saint Paul, MN 551022533

Phone: 6517266200

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.