Active NPI 1922081785 Individual Practitioner Male Practitioner

Dr. Thomas J Nicholson , MD

Colon & Rectal Surgery • York, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Nicholson, MD is a certified Colon & Rectal Surgery practicing in York, PA. With approximately 30 years of clinical experience since graduating from Pennsylvania State University College Of Medicine in 1996, Dr. Nicholson delivers high-quality medical care to the local community at 1703 INNOVATION DR STE 3136.

Dr. Nicholson is affiliated with Pinnacle Health Medical Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, established patient outpatient office visit, 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

1703 Innovation Dr Ste 3136

York, PA 174088815

Telephone 7177413449

Fax 7177415496

Associated Practice Facility / Clinic

🏢 Martin Podiatry Pc Facility NPI 1396927752

Medicare Profile & Education

Medical School

Pennsylvania State University College Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in York, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +10.4 yrs vs City Avg

City Avg: 19.6 Yrs

State Avg: 25.6 Yrs

Regional Practice Density

6 Specialists

Practicing in York, PA (126 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicholson (30 Years) 30 Yrs

York Specialty Average (19.6 Years) 19.6 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
45380 Biopsy of large bowel using an endoscope	108	108	$588.00	$154.66
99213 Established patient office or other outpatient visit, typically 15 minutes	90	66	$178.00	$86.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	54	$251.00	$120.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$376.00	$159.38
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	50	50	$613.00	$169.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$247.00	$104.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$667.00	$236.02
45378 Diagnostic exam of large bowel using a flexible endoscope	34	34	$451.00	$168.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	33	33	$567.00	$160.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$113.00	$53.42
46500 Injection of hemorrhoid	19	17	$355.00	$140.82
64561 Insertion of sacral nerve neurostimulator electrode array	17	12	$1660.24	$381.84
46221 Removal of external hemorrhoids by rubber banding	15	15	$429.00	$169.82
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	14	12	$374.00	$160.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$355.00	$171.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	139	138	$588.00	$175.51
99213 Established patient office or other outpatient visit, typically 15 minutes	106	87	$178.00	$86.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	57	$251.00	$124.30
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	51	51	$613.00	$173.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	47	47	$376.00	$162.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$247.00	$108.94
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$451.00	$172.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$667.00	$236.97
46221 Removal of external hemorrhoids by rubber banding	25	24	$429.00	$131.51
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$567.00	$167.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	17	$355.00	$174.40
64561 Insertion of sacral nerve neurostimulator electrode array	19	14	$1750.74	$405.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$113.00	$54.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	101	$170.76	$88.22
45380 Biopsy of large bowel using an endoscope	120	117	$588.00	$165.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	48	$240.47	$124.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$376.00	$161.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$247.00	$110.08
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	45	45	$613.00	$182.14
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$451.00	$178.31
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$667.00	$246.67
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$567.00	$177.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$113.00	$55.42
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	13	12	$374.00	$79.50
64581 Incision to insert sacral nerve neurostimulator electrodes	13	12	$1552.00	$653.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	227	156	$169.00	$89.76
45380 Biopsy of large bowel using an endoscope	84	83	$588.00	$171.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$247.00	$111.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	39	$236.00	$126.52
45378 Diagnostic exam of large bowel using a flexible endoscope	46	46	$451.00	$175.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	38	$113.00	$54.68
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	41	41	$613.00	$183.51
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$667.00	$253.84
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$158.00	$72.01
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	22	22	$374.00	$84.04
64581 Incision to insert sacral nerve neurostimulator electrodes	21	21	$1552.00	$663.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$376.00	$166.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	18	18	$567.00	$180.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$315.00	$134.49
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	15	13	$161.00	$49.77
46500 Injection of hemorrhoid	11	11	$355.00	$161.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	194	141	$169.00	$74.23
45380 Biopsy of large bowel using an endoscope	107	104	$588.00	$177.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	70	$113.00	$44.77
45378 Diagnostic exam of large bowel using a flexible endoscope	54	53	$451.00	$187.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	38	$236.00	$106.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$247.00	$101.92
99202 New patient office or other outpatient visit, typically 20 minutes	43	43	$158.00	$75.16
95970 Electronic analysis of implanted brain, spinal cord or peripheral stimulation device	27	25	$149.00	$19.65
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	25	$667.00	$254.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$376.00	$163.83
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	17	17	$613.00	$190.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	12	$88.06	$39.73
46500 Injection of hemorrhoid	14	14	$355.00	$122.65
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	13	13	$374.00	$100.99
64581 Incision to insert sacral nerve neurostimulator electrodes	12	12	$1552.00	$684.60
64561 Insertion of sacral nerve neurostimulator electrode array	11	11	$2016.00	$469.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	314	222	$182.60	$72.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	163	163	$222.95	$106.29
45380 Biopsy of large bowel using an endoscope	107	106	$1083.78	$172.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	77	$225.00	$106.62
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	70	70	$947.43	$190.24
45378 Diagnostic exam of large bowel using a flexible endoscope	64	62	$880.69	$187.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$272.27	$161.92
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	50	40	$124.30	$56.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	15	$119.75	$72.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	38	$119.20	$43.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	40	39	$1259.20	$257.16
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	22	22	$2045.09	$92.39
64581 Incision to insert sacral nerve neurostimulator electrodes	19	19	$2679.58	$674.18
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$158.78	$74.65
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	18	17	$349.50	$53.93
45398 Tying of large bowel using an endoscope	18	18	$1063.61	$221.88
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$1034.76	$190.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$256.67	$136.38
64561 Insertion of sacral nerve neurostimulator electrode array	14	14	$3082.14	$451.82
46260 Removal of multiple hemorrhoid groups	13	13	$1551.77	$483.28
46221 Removal of external hemorrhoids by rubber banding	13	13	$420.38	$169.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	306	226	$192.00	$70.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	185	185	$222.00	$103.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	138	$225.00	$104.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	112	112	$254.00	$155.82
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	92	92	$1064.00	$188.24
45378 Diagnostic exam of large bowel using a flexible endoscope	81	81	$1064.00	$183.77
45380 Biopsy of large bowel using an endoscope	70	68	$1286.00	$197.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	51	28	$119.00	$71.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	42	$307.00	$200.07
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	33	26	$422.00	$48.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	15	$88.00	$38.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	17	$177.00	$102.83
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$1064.00	$188.61
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	24	24	$3000.00	$109.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$341.00	$202.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	20	$313.00	$141.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	22	22	$1513.00	$241.73
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	19	17	$200.00	$41.54
99238 Hospital discharge day management, 30 minutes or less	19	18	$250.00	$71.84
64561 Insertion of sacral nerve neurostimulator electrode array	19	19	$4865.47	$457.44
64581 Incision to insert sacral nerve neurostimulator electrodes	18	18	$3200.00	$650.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$140.00	$42.35
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	17	17	$1512.00	$189.28
46221 Removal of external hemorrhoids by rubber banding	16	16	$413.00	$129.67
44204 Partial removal of large bowel using an endoscope	13	13	$4502.96	$1569.77
49905 Repair of abdomen using abdominal lining graft	11	11	$1530.93	$332.01
46260 Removal of multiple hemorrhoid groups	11	11	$1761.00	$475.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	287	201	$179.51	$69.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	181	181	$207.44	$103.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	83	$211.76	$102.82
45378 Diagnostic exam of large bowel using a flexible endoscope	92	92	$1001.32	$181.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$238.80	$159.18
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	72	72	$995.97	$185.47
45380 Biopsy of large bowel using an endoscope	67	66	$1204.33	$199.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	50	15	$116.12	$70.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	37	$290.57	$197.73
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	38	38	$995.39	$185.00
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	33	27	$391.94	$44.45
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	28	28	$1412.00	$198.79
64590 Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver	21	21	$3688.10	$94.76
95972 Electronic analysis of implanted neurostimulator generator with complex spinal cord or peripheral nerve stimulator programming	20	20	$154.40	$41.32
64581 Incision to insert sacral nerve neurostimulator electrodes	18	17	$2150.00	$663.38
64561 Insertion of sacral nerve neurostimulator electrode array	18	18	$4781.33	$453.96
99238 Hospital discharge day management, 30 minutes or less	18	16	$107.00	$70.79
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$335.22	$200.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$131.59	$41.84
49905 Repair of abdomen using abdominal lining graft	17	17	$1535.24	$357.32
46221 Removal of external hemorrhoids by rubber banding	16	16	$389.75	$116.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	15	15	$1348.33	$252.22
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	13	$82.87	$38.53
45171 Removal of rectal growth	15	13	$1123.47	$595.58

Medical Specialties & State Licenses

CMS Verified: 2021-04-15

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License PA MD069287L

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1947440 (PA)

Hospital & Practice Group Affiliations

Pinnacle Health Medical Services

1703 Innovation Dr, York, PA 174089712

Phone: 7177413449

Secondary Practice Locations

25 Monument Rd, Suite 260

York, PA 174035060

Phone: 7177413449

Practice Associates & Co-Workers

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

14 Associated Practitioners

Avery Simpson , PA-C

Physician Assistant

NPI 1104751452

Physician Assistant (Certified)

Kimberley Smith , CRNP

Nurse Practitioner - Family

NPI 1154943512

Certified Registered Nurse Practitioner

Dr. Kimberlee Mudge , MD

Surgery

NPI 1366425316

Doctor of Medicine (M.D.)

Gaokiab Lo , PA-C

Physician Assistant

NPI 1386391043

Physician Assistant (Certified)

Gregory Wolbrette , PA-C

Physician Assistant

NPI 1407626005

Physician Assistant (Certified)

Lydia Flinner , CRNP

Nurse Practitioner - Family

NPI 1417539859

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Business Mailing Address April 15, 2021

Registered at 1703 INNOVATION DR STE 3136, YORK, PA 174088815

📍

Updated Practice Location July 18, 2019

Registered at 1703 INNOVATION DR STE 3136, YORK, PA 174088815 (Tel: 7177413449)

📍

Updated Business Mailing Address July 18, 2019

Registered at 409 S 2ND ST STE 2F, HARRISBURG, PA 171041612 (Tel: 7177413449)

✅

NPI Profile Active August 30, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2012

Registered at 25 MONUMENT RD, SUITE 260, YORK, PA 174035060 (Tel: 7177413449)

📍

Updated Business Mailing Address August 30, 2012

Registered at 25 MONUMENT RD, SUITE 260, YORK, PA 174035060 (Tel: 7177413449)

👤

Provider Name / Credentials Updated August 30, 2012

Recorded as THOMAS NICHOLSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2012

Colon & Rectal Surgery (License #MD069287L in PA)

🟢

Initial NPI Registration & Enumeration November 25, 2005

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: 1922081785

Entity Type:

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

Enumeration Date: November 25, 2005

Last Update: April 15, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1703 Innovation Dr Ste 3136

York, PA 174088815

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.