Physician

Benjamin P Nicholson, M.D., M.A.

According to 2025 Medicare claims, Benjamin Nicholson, M.D., M.A. (NPI: 1003016916) practices ophthalmology in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is GREAT LAKES EYE CARE PC (NPI: 1922002708; TIN: 382723375) and primary practice location at 49085-3352. Nicholson is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Nicholson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 777 traditional Medicare patients, billed 32,727 HCPCS/CPT codes, and received $2,305,321 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 854 prescription claims across 234 beneficiaries totaling $45,639 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 1 records totaling $21. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.