Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053707398 Individual Practitioner Female Practitioner

Dr. Tristan Marriner Nicholson , MD, PhD

Urology • Seattle, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Tristan Nicholson, MD, PhD is a certified Urology practicing in Seattle, WA. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Nicholson delivers high-quality medical care to the local community at 1959 NE PACIFIC ST.

Dr. Nicholson is affiliated with The Association Of University Physicians and 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, 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

1959 Ne Pacific St

Seattle, WA 981950001

Telephone 2065205000
Associated Practice Facility / Clinic
🏢 University Of Washington Facility NPI 1326002049

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Seattle, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -8.8 yrs vs City Avg
City Avg: 19.8 Yrs
State Avg: 25.2 Yrs
Regional Practice Density
120 Specialists

Practicing in Seattle, WA (351 Statewide)

Telehealth Adoption Rate
50.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicholson (11 Years) 11 Yrs
Seattle Specialty Average (19.8 Years) 19.8 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
40 29 $300.36 $106.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $407.72 $145.45

Medical Specialties & State Licenses

CMS Verified: 2021-05-03
Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License WA MD61148901

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1053707398 (WA)

Hospital & Practice Group Affiliations

The Association Of University Physicians

1959 Ne Pacific St, Seattle, WA 981950001

Phone: 2065984333

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Sandhya Panch , MD

Internal Medicine - Hematology

NPI 1003043415

Doctor of Medicine (M.D.)

Hilary King , MA, RC

Counselor - Mental Health

NPI 1003068735

Master of Arts, RC

Dr. Afshin Shameli , MD, PhD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003104357

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Timothy Menza , MD, PhD

Internal Medicine - Infectious Disease

NPI 1003105891

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Maria Corcorran , MD

Internal Medicine

NPI 1003159013

Doctor of Medicine (M.D.)

Dr. Justin Miller , PhD

Psychologist - Clinical

NPI 1003162314

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location May 03, 2021

Registered at 1959 NE PACIFIC ST, SEATTLE, WA 981950001 (Tel: 2065205000)

📍
Updated Business Mailing Address May 03, 2021

Registered at PO BOX 50095, SEATTLE, WA 981455095 (Tel: 2065205700)

👤
Provider Name / Credentials Updated May 03, 2021

Recorded as TRISTAN NICHOLSON, MD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2021

Urology (License #MD61148901 in WA)

NPI Profile Active April 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 14, 2015

Registered at 1959 NE PACIFIC ST, BOX 356410, SEATTLE, WA 981950001 (Tel: 9703339796)

📍
Updated Business Mailing Address April 14, 2015

Registered at 1959 NE PACIFIC ST, BOX 356410, SEATTLE, WA 981950001 (Tel: 9703339796)

👤
Provider Name / Credentials Updated April 14, 2015

Recorded as TRISTAN NICHOLSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 14, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 14, 2015

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: 1053707398
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 14, 2015
Last Update: May 03, 2021
Sole Proprietor: No

Mailing Address

Po Box 50095

Seattle, WA 981455095

Phone: 2065205700

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.