Active NPI 1790707966 Individual Practitioner Male Practitioner

Dr. Robert J Nickodem , MD

Orthopaedic Surgery • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Dr. Robert Nickodem, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Mentor, OH. Practice services are available at 7060 WAYSIDE DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, 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. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7060 Wayside Dr
Mtr1/-102

Mentor, OH 440606527

Telephone 4403572770

Fax 4403544669

Associated Practice Facility / Clinic

🏢 The Cleveland Clinic Foundation Facility NPI 1023940954

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Mentor, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 28.8 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

5 Specialists

Practicing in Mentor, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.9% 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 (2023)

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	29	24	$416.93	$94.55
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$268.61	$64.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$351.00	$80.92

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	209	169	$380.26	$94.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	103	103	$319.00	$82.18
99213 Established patient office or other outpatient visit, typically 15 minutes	51	46	$245.90	$65.50
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	24	24	$221.00	$50.67
27447 Replacement of knee joint, both sides of knee	22	21	$6954.26	$1254.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$548.00	$132.40

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	251	190	$369.30	$98.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$319.00	$82.62
27447 Replacement of knee joint, both sides of knee	23	22	$7159.08	$1289.81
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	22	20	$221.00	$51.09
99442 Telephone medical discussion with physician, 11-20 minutes	17	17	$165.00	$67.08
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$240.00	$66.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$548.00	$134.86

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	240	172	$358.92	$78.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$319.00	$74.50
27447 Replacement of knee joint, both sides of knee	17	17	$7126.94	$1370.00
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	17	17	$221.00	$51.63

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	364	276	$349.00	$77.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$319.00	$75.44
20610 Aspiration and/or injection of fluid from large joint	107	60	$309.79	$50.15
27447 Replacement of knee joint, both sides of knee	27	26	$7260.25	$1363.69
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	19	18	$221.00	$51.66
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$226.00	$50.63

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	449	307	$339.00	$76.73
20610 Aspiration and/or injection of fluid from large joint	423	139	$347.38	$52.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$319.00	$75.41
27447 Replacement of knee joint, both sides of knee	38	35	$7718.79	$1352.84
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	26	25	$221.00	$51.51
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$219.00	$50.30
27130 Replacement of thigh bone and hip joint with prosthesis	12	12	$10555.00	$1345.18

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	489	308	$338.92	$76.13
20610 Aspiration and/or injection of fluid from large joint	489	164	$343.20	$52.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	174	174	$318.95	$75.10
99213 Established patient office or other outpatient visit, typically 15 minutes	39	34	$219.00	$49.42
27447 Replacement of knee joint, both sides of knee	27	26	$7869.90	$1351.22
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	12	12	$221.00	$51.35

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35-05-1872-N

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0594110 (OH)

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Briana Andres , DO

Pediatrics

NPI 1003436775

Doctor of Osteopathic Medicine (D.O.)

Blake Wollam

Nurse Practitioner - Family

NPI 1013643048

Kristi Meenan

Physician Assistant - Medical

NPI 1134832207

Sally Blum , PA

Physician Assistant - Medical

NPI 1609818665

Physician Assistant

Laura Pittman , APRN

Nurse Practitioner - Family

NPI 1740881465

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 05, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location February 05, 2013

Registered at 7060 WAYSIDE DR, MTR1/-102, MENTOR, OH 440606527 (Tel: 4403572770)

📍

Updated Business Mailing Address February 05, 2013

Registered at 7060 WAYSIDE DR, MTR1/-102, MENTOR, OH 440606527 (Tel: 4403572770)

👤

Provider Name / Credentials Updated February 05, 2013

Recorded as ROBERT NICKODEM, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2013

Orthopaedic Surgery (License #35-05-1872-N in OH)

🟢

Initial NPI Registration & Enumeration July 24, 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: 1790707966

Entity Type:

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

Enumeration Date: July 24, 2006

Last Update: February 05, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7060 Wayside Dr, Mtr1/-102

Mentor, OH 440606527

Phone: 4403572770

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.