Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Nicholas Martin Mai , APRN

Nurse Practitioner โ€ข Edgewood, KY

Active NPI 1598937229 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

560 S Loop Rd
Edgewood, KY 410173405

Call 8593012663 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

560 S Loop Rd

Edgewood, KY 410173405

Telephone 8593012663
Fax 8593010655
Organization at the Same NPPES Address or Phone
Gaitwell Orthotics And Pedorthics Facility NPI 1043280779

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Orthocincy Orthopaedics And Sports Medicine Psc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Medicare patients

255 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $61,042 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $44,187 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

264 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$851 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $170.28 in 2025

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Nicholas Mai has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Nicholas Mai as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Edgewood and Kentucky

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Edgewood, KY (2024, 90 clinicians with data). Median for this group: 138. Middle half: 45 to 318.

More Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: 280. Middle half: 106 to 647.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Edgewood, KY (2024, 90 clinicians with data). Median for this group: $12,090. Middle half: $3,093 to $23,416.

A higher Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: $18,877. Middle half: $5,871 to $39,639.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Edgewood, KY (2024, 90 clinicians with data). Median for this group: $8,867. Middle half: $2,388 to $17,117.

A higher Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Kentucky (2024, 944 clinicians with data). Median for this group: $13,914. Middle half: $4,523 to $29,194.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Edgewood, KY (2024, 92 clinicians with data). Median for this group: 136. Middle half: 52 to 505.

Fewer Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Kentucky (2024, 1,102 clinicians with data). Median for this group: 633. Middle half: 141 to 2,431.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Edgewood, KY (2024, 92 clinicians with data). Median for this group: $10,394. Middle half: $505 to $63,254.

A lower Part D drug cost than 80% of clinicians listed under Nurse Practitioner in Kentucky (2024, 1,102 clinicians with data). Median for this group: $39,302. Middle half: $2,189 to $261,356.

172 active clinicians are listed under Nurse Practitioner with a practice address in Edgewood, KY (1,832 in Kentucky).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edgewood

4.7% of these 172 clinicians have the CMS telehealth indicator.

72.7% of these 172 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): fewer than 11 records totaling $170.28.

Manufacturer Payment Nature Product Type Amount ($)
Miach Orthopaedics, Inc.
Food and Beverage
Cash or cash equivalent
โ€” General $170.28

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
4,500 50 $20.00 $6.35
20610 Aspiration and/or injection of fluid from large joint
140 117 $273.75 $57.65
73562 X-ray of knee, 3 views
125 97 $102.00 $31.35
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
121 75 $44.00 $6.97
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
90 84 $155.00 $72.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
76 73 $185.00 $102.04
73030 X-ray of shoulder, minimum of 2 views
35 33 $102.00 $26.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
21 21 $198.00 $89.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
19 19 $275.00 $134.83

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 83 720 $321.14 78
Oxycodone Hcl Oxycodone Hcl 42 145 $150.46 39
Meloxicam Meloxicam 41 1,300 $98.35 35
Amoxicillin Amoxicillin 34 35 $25.94 18
Methylprednisolone Methylprednisolone 33 198 $193.50 31
Cephalexin Cephalexin 26 93 $61.42 26

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES KY 3005643

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

License # reported to NPPES KY 1096442

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Kentucky Board of Medical Licensure.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
7100064180 (KY)
Other Identifier Railroad Medicare
P00674129 (KY)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20080801000231

Enrollment State Jurisdiction

KY

PECOS Control ID

5597839035

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Orthocincy Orthopaedics And Sports Medicine Psc

560 S Loop Rd, Edgewood, KY 410173405

Phone: 8593012663

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Sarag Abhari , MD

Orthopaedic Surgery

NPI 1437654993

Doctor of Medicine (M.D.)

Staci Ames , PT

Physical Therapist

NPI 1427212232

Physical Therapist

Dr. Ronald Auer , MD

Orthopaedic Surgery

NPI 1174848196

Doctor of Medicine (M.D.)

Dr. James Baker , MD

Orthopaedic Surgery - Hand Surgery

NPI 1588879860

Doctor of Medicine (M.D.)

Ana Carolina Baptista Wise , MSN, RN

Nurse Practitioner - Family

NPI 1366994048

Master of Science in Nursing, Registered Nurse

Dr. Daniel Bartlett , DPT

Physical Therapist

NPI 1750704052

Doctor of Physical Therapy

Career & Practice History

NPI enumerated April 02, 2008.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

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NPI Administrative Meta

NPI Number: 1598937229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 02, 2008
Last Update: February 03, 2016
Sole Proprietor: No

Other Nurse Practitioners in Edgewood

All Nurse Practitioners in Edgewood

Mailing Address

560 S Loop Rd

Edgewood, KY 410173405

Phone: 8593012663

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.