Physician

Craig Alan Nicholson, MD

According to 2025 Medicare claims, Craig Nicholson, MD (NPI: 1033223318) practices urology in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC (NPI: 1720798101; TIN: 884129969) and primary practice location at 45805-4805. Nicholson is affiliated with the IHCI ACO LLC (ACO ID: A4931), Kettering Physician Partners Accountable Care LLC (ACO ID: A5062), and IHCI ACO Midwest LLC (ACO ID: A5516), participating under the MSSP model.

Nicholson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 619 traditional Medicare patients, billed 7,744 HCPCS/CPT codes, and received $226,186 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,575 prescription claims across 466 beneficiaries totaling $149,857 in drug costs, led by Gemtesa (Vibegron). DME data shows 68 claims. Open Payments data shows 32 records totaling $1,760. 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 has fallen sharply in recent years, from $440,426 to $226,186. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $366,375 to $149,857. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $458 and ending at $990.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	779	12,813	$440,426
2016	885	10,696	$456,151
2017	907	10,352	$535,490
2018	999	12,997	$610,745
2019	744	7,707	$419,543
2020	398	3,049	$234,793
2021	539	4,714	$350,611
2022	493	3,038	$231,942
2023	570	3,388	$186,021
2024	619	7,744	$226,186

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	497	1,589	$366,375
2016	520	1,451	$152,728
2017	428	1,039	$57,121
2018	252	590	$43,365
2019	234	566	$41,172
2020	234	577	$29,223
2021	247	474	$27,108
2022	172	379	$11,265
2023	316	744	$82,574
2024	466	1,575	$149,857

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	16	94	$18,582
2016	14	92	$13,857
2017	22	117	$15,884
2018	18	95	$16,470
2019	N/R	63	$10,298
2020	13	50	$11,190
2021	N/R	143	$12,942
2022	N/R	152	$14,937
2023	15	105	$25,680
2024	N/R	68	$33,976

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	123	123	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	807	$89
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	361	667	$12
51798	Ultrasound measurement of bladder capacity after voiding	254	509	$8
81003	Automated urinalysis test	319	756	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	54	3,685	$56,340
Orgovyx	Relugolix	16	476	$41,648
Myrbetriq	Mirabegron	24	1,041	$16,225
Bethanechol Chloride	Bethanechol Chloride	148	6,705	$6,649
Tamsulosin Hcl	Tamsulosin Hcl	407	30,945	$5,513

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	30	$27,432
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	27	$6,293
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	11	$251

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	32	$1,760	PROCEPT BioRobotics Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Craig Alan Nicholson, MD?

Tedicare shows public-source Medicare data for Craig Alan Nicholson, MD (NPI 1033223318), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Craig Alan Nicholson, MD have ACO affiliation data?

Craig Alan Nicholson, MD is shown with ACO affiliation data for IHCI ACO LLC (MSSP, ACO ID A4931), Kettering Physician Partners Accountable Care LLC (MSSP, ACO ID A5062), and IHCI ACO Midwest LLC (MSSP, ACO ID A5516).

What billing organization is linked to Craig Alan Nicholson, MD?

Craig Alan Nicholson, MD is linked to WEST CENTRAL OHIO UROLOGICAL CENTERS OF EXCELLENCE, LLC (billing NPI 1720798101) in the available physician profile data.

Does Craig Alan Nicholson, MD have Open Payments data?

Craig Alan Nicholson, MD has 32 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.