John David Nicely

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NPI Number Detailed Information

Provider Information:

Name:	John David Nicely
Gender:	M
Provider License Number If Given:	4301078807

NPI Information:

NPI:	1215987367
Entity Type (Individual or Organization):	1-ind
Enumeration Date:	5/11/2006
Last Update Date:	5/25/2010
Reputation Report:

Provider Business Mailing Address:

Address:	PO BOX 30516 DEPT 4006 Lansing, MI 48909
Phone Number:	6169751845
Fax Number:	6169751870

Provider Business Practice Location Address:

Address:	602 MICHIGAN AVE Holland, MI 49423
Phone Number:	6163943522
Fax Number:

Provider Taxonomy:

Primary:	207PE0004X
Secondary (if any):
State:	MI

Top Doctors in MI

About John David Nicely

John David Nicely ( JOHN DAVID NICELY ) is An Emergency Medicine Physician in Holland, MI. The NPI Number for John David Nicely is 1215987367.

The current location address for John David Nicely is 602 MICHIGAN AVE Holland, MI 49423 and the contact number is 6169751845 and fax number is 6169751870. The mailing address for John David Nicely is PO BOX 30516 DEPT 4006 Lansing, MI 48909- 6163943522 (mailing address contact number - 6169751845).

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Provider Business Location on Map

FAQs:

What is the NPI Number for John David Nicely ?

Answer: The NPI Number for John David Nicely is 1215987367

Where is John David Nicely located?

Answer: John David Nicely is located at 602 MICHIGAN AVE Holland, MI 49423.

What is the specialty for John David Nicely ?

Answer: The Specialty of John David Nicely is An Emergency Medicine Physician.

Are there any online reviews for John David Nicely ?

Answer: Yes! Check It Now.

Are there any other health care providers in Holland, MI?

Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by John David Nicely

Number of HCPCS	19
Number of Medicare Beneficiaries	235
Number of Services	420
Total Submitted Charge Amount	116862
Total Medicare Allowed Amount	38774.43
Total Medicare Payment Amount	29956.88
Total Medicare Standardized Payment Amount	29449.61
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services	0
Number of Medicare Beneficiaries With Drug Services	0
Number of Drug Services	0
Total Drug Submitted Charge Amount	0
Total Drug Medicare Allowed Amount	0
Total Drug Medicare Payment Amount	0
Total Drug Medicare Standardized Payment Amount	0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services	19
Number of Medicare Beneficiaries With Medical	235
Number of Medical Services	420
Total Medical Submitted Charge Amount	116862
Total Medical Medicare Allowed Amount	38774.43
Total Medical Medicare Payment Amount	29956.88
Total Medical Medicare Standardized Payment Amount	29449.61
Average Age of Beneficiaries	74
Number of Beneficiaries Age Less 65	47
Number of Beneficiaries Age 65 to 74	68
Number of Beneficiaries Age 75 to 84	66
Number of Beneficiaries Age Greater 84	54
Number of Female Beneficiaries	127
Number of Male Beneficiaries	108
Number of Non-Hispanic White Beneficiaries	189
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries	27
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement	67
Number of Beneficiaries With Medicare Only Entitlement	168
Percent (%) of Beneficiaries Identified With Atrial Fibrillation	0.21
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia	0.26
Percent (%) of Beneficiaries Identified With Asthma	0.07
Percent (%) of Beneficiaries Identified With Cancer	0.13
Percent (%) of Beneficiaries Identified With Heart Failure	0.32
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease	0.46
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease	0.16
Percent (%) of Beneficiaries Identified With Depression	0.43
Percent (%) of Beneficiaries Identified With Diabetes	0.39
Percent (%) of Beneficiaries Identified With Hyperlipidemia	0.69
Percent (%) of Beneficiaries Identified With Hypertension	0.75
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease	0.45
Percent (%) of Beneficiaries Identified With Osteoporosis	0.12
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis	0.48
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders	0.11
Percent (%) of Beneficiaries Identified With Stroke	0.09
Average HCC Risk Score of Beneficiaries	1.8528

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type	Emergency Medicine
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills	128
Number of Standardized 30-Day Fills	134.33333333
Aggregate Cost Paid for All Claims	5050.92
Number of Day's Supply for All Claims	1412
Number of Medicare Beneficiaries	102
Number of Claims, Including Refills, for Beneficiaries Age 65+	115
Including Refills, for Beneficiaries Age 65+	121.33333333
Beneficiaries Age 65+	5002.29
Number of Day's Supply for All Claims for Beneficaries Age 65+	1328
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst	#
Total Claims of Brand-Name Drugs
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills	114
Aggregate Cost Paid for Generic Drugs	1069.95
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst	*
Total Claims of Other Drugs, Including Refills
Aggregate Cost Paid for Other Drugs
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans	76
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans	1759.81
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans	52
Aggregate Cost Paid for Claims Filled by	3291.11
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy	32
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy	864.2
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy	96
by Low-Income Subsidy	4186.72
Total Claims of Opioid Drugs, Including	13
Aggregate Cost Paid for Opioid Drugs	57.65
Opioid Claims	13
Opioid_Tot_Clms divided by the Tot_Clms	10.15625
Total Claims of Long-Acting Opioid Drugs	0
Aggregate Cost Paid for Long-Acting Opioid	0
Number of Day's Supply of All Long-Acting	0
Long-Acting Opioid Claims	0
Opioid_LA_Tot_Clms divided by the	0
Total Claims of Antibiotic Drugs, Including	51
Aggregate Cost Paid for Antibiotic Drugs	334.6
Antibiotic Claims	47
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst	*
Including Refills, for Beneficiaries Age 65+
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries	74.068627451
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries	69
Number of Male Beneficiaries	33
Number of Non-Hispanic White	83
Number of Black or African American
Number of Asian Pacific Islander	0
Number of Hispanic Beneficiaries	13
Number of American Indian/Alaskan NativeBeneficiaries	0
Number of Beneficiaries with Race Not
Only Entitlement	81
Average Hierarchical Condition Category	1.2475882353

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