Nicholas Ryan Fiacco

  • Raleigh, NC
  • Internist
NPI1093042095PAC ID1557687654
Medicare services, 2024
56
Medicare patients, 2024
34
Part D claims, 2024
317
Publications
2
Industry payments
$860
Practice address
10208 Cerny St, Raleigh, NC 27617
Practice phone
Call (919) 354-7077
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Lifestyle Medical Centers

Raleigh, North Carolina

See all 6 affiliations

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Nicholas Ryan Fiacco is an internist in Raleigh, North Carolina

Nicholas Fiacco practices at Lifestyle Medical Centers in Raleigh, North Carolina.

Nicholas Fiacco's NPI, 1093042095, was assigned on November 11, 2009. Nicholas Fiacco graduated from Mercer University School of Medicine in 2013. Nicholas Fiacco's North Carolina license number on file is 201801251.

NPI and contact details
Medicare PAC ID
1557687654
NPI enumeration date
November 11, 2009
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(919) 354-7077
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
39
Medical school graduation
2013

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Nicholas Ryan Fiacco practices at Lifestyle Medical Centers in Raleigh, North Carolina

Nicholas Fiacco's primary practice is Lifestyle Medical Centers, at 10208 Cerny St, Raleigh, NC 27617 in Wake County. The practice phone is (919) 354-7077.

  • Lifestyle Medical Centers
    10208 Cerny St, Raleigh, NC 27617 · Wake CountyPhone(919) 354-7077

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Nicholas Ryan Fiacco is affiliated with 3 sites of care and 3 medical groups

Nicholas Fiacco's primary practice is Lifestyle Medical Centers in Raleigh, North Carolina. The medical group on file is Hendersonville OB-GYN Associates. Dmand AI also links Nicholas Fiacco to 2 more group practices and clinics and 2 medical groups, each named with a free account.

See all 6 affiliations for Nicholas Fiacco

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Nicholas Ryan Fiacco's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Nicholas Fiacco practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Lifestyle Medical CentersAvailable with a free account
+2 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Nicholas Ryan Fiacco is one of 3,705 internists in North Carolina

Internal medicine is Nicholas Fiacco's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Nicholas Fiacco is board certified in endocrinology, diabetes and metabolism by the American Board of Internal Medicine. Dmand AI has Nicholas Fiacco's licenses on file in 3 states: North Carolina, Virginia and District of Columbia.

Specialties and state licenses

  • Internal medicine, North CarolinaPrimaryLicense 201801251 · 2018 to 2025 · taxonomy 207R00000X
  • Virginia licenseLicense 0101256953 · 2014 to 2018
  • District of Columbia license2016

Clinical focus

Dmand AI lists chronic diabetes, diabetic emergency, enlarged thyroid, fluid and electrolyte imbalances, high cholesterol, hypercalcemia, overactive thyroid and underactive thyroid among the conditions Nicholas Fiacco treats.

Internists near Nicholas Fiacco

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Nicholas Ryan Fiacco billed Medicare for 56 services in 2024

CMS data shows 56 Medicare services from Nicholas Fiacco across 2 procedure codes in 2024, all of them office visits, for 34 Medicare patients. Medicare paid $5,920 for them. Every service was in an office.

Medicare services, 202456
Medicare patients34
Paid by Medicare$5,920
Procedure codes2

Nicholas Fiacco's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 752024: 5625%

Nicholas Fiacco compared with the North Carolina median for internists, 2024

  • Nicholas Fiacco
  • North Carolina median
Medicare services
56vs 52189% below
Medicare patients
34vs 18582% below
Part D claims
165vs 27239% below

Medians across 3,695 internists in North Carolina with Dmand AI profiles that report each measure.

Nicholas Fiacco's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Nicholas Fiacco

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Medicare shows one payer. Book a meeting to get commercial claims data for Nicholas Fiacco and other internists in North Carolina.

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Nicholas Ryan Fiacco treated 34 Medicare patients in 2024, average age 72

CMS counts 34 Medicare patients who saw Nicholas Fiacco in 2024. The largest group is 65 to 74, with 21 patients. 74% of them have high cholesterol, and 65% have high blood pressure. Their average risk score is 1.14, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Nicholas Fiacco's median patient age at 50, with 77% women.

Medicare patients, 202434
Average age72
Average risk score1.14

Nicholas Fiacco's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Chronic conditions among Nicholas Fiacco's Medicare patients, 2024

  1. High cholesterol74%
  2. High blood pressure65%
  3. Arthritis59%
  4. Osteoporosis44%
  5. Anxiety41%
  6. Mood disorders41%
  7. Depression38%
  8. Diabetes38%

Share of Medicare patients with each condition. A patient can have several.

Nicholas Fiacco's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 50

Patient panel by sex, all payers

  • Women77%
  • Men22%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Nicholas Ryan Fiacco wrote 317 Medicare Part D claims in 2024

In 2024, Nicholas Fiacco wrote 317 Medicare Part D claims for 51 patients. 45% of them were for generic drugs. CMS names the drug for 165 of them, across 7 drugs with 11 or more claims each, at $105,455 in total drug cost. In 2023, CMS named 212 claims across 8 drugs.

Part D claims, 2024317
Drugs named by CMS7
Total drug cost$105,455
Part D patients51

Nicholas Fiacco's Part D claims by kind of drug, 2024

  • Generic142 claims45%
  • Brand-name161 claims51%
  • Other14 claims4%

Nicholas Fiacco's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2122024: 16522%

Drugs named by CMS: 7 in 2024, 8 in 2023.

See all prescribing by Nicholas Fiacco

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Nicholas Ryan Fiacco offers telehealth to Medicare patients

Nicholas Fiacco accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Nicholas Fiacco as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Nicholas Ryan Fiacco has 2 publications on record

Dmand AI links 2 papers to Nicholas Fiacco in 2013. Nicholas Fiacco's most frequent co-authors are Michael S. Cahill, MD, Michael K. Cheezum, MD and Catherine Foard Coffman, MD.

Papers2

Nicholas Fiacco's most frequent co-authors

Recent publications by Nicholas Fiacco

See all 2 publications and co-authors

See who Nicholas Fiacco researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Nicholas Fiacco works with, so you can find a warm path to the right internists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Nicholas Ryan Fiacco received $860 in industry payments from 2017 to 2025

CMS Open Payments shows 13 general payments to Nicholas Fiacco from 4 drug and device companies from 2017 to 2025. Food and beverage make up the largest share, 85% of the total. Novo Nordisk Inc paid the most, $593.

General payments to Nicholas Fiacco by program year, 2017 to 2025

General payments to Nicholas Fiacco by kind, 2017 to 2025

$860in total
  • Food and beverage$73185%
  • Education$12915%

Companies that paid Nicholas Fiacco the most, 2017 to 2025

Share is of all general payments to this clinician.

See all payments to Nicholas Fiacco

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Nicholas Ryan Fiacco graduated from Mercer University School of Medicine

Nicholas Fiacco graduated from Mercer University School of Medicine in 2013.

  1. Medical schoolMercer University School of Medicine
  2. Board certified in endocrinology, diabetes and metabolismAmerican Board of Internal Medicine
  3. Board certified in internal medicineAmerican Board of Internal Medicine
  4. Board certified in obesity medicineAmerican Board of Obesity Medicine

Source: Dmand AI Professional Profile Data

Nicholas Ryan Fiacco accepts plans from 16 insurance carriers

Nicholas Fiacco is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • Blue Cross and Blue Shield of North Carolina
  • Elevance
  • HCSC
  • Humana
  • Regence Health Plans
  • +8 more carriersWith a free account

Plan types Nicholas Fiacco accepts, by number of carriers

  1. PPO9
  2. Medicare8
  3. HMO7
  4. EPO4
  5. POS4
  6. Medicaid2

Source: Dmand AI Insurance Network Data

Sources for Nicholas Ryan Fiacco's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Nicholas Ryan Fiacco

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Nicholas Ryan Fiacco's NPI number?

Nicholas Ryan Fiacco's NPI number is 1093042095. It was assigned on November 11, 2009, and it is active in the NPI Registry.

What does Nicholas Ryan Fiacco specialize in?

Nicholas Ryan Fiacco is an internist in Raleigh, North Carolina. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Nicholas Ryan Fiacco practice?

Nicholas Fiacco practices at 10208 Cerny St, Raleigh, NC 27617. Nicholas Fiacco's primary practice is Lifestyle Medical Centers in Raleigh, North Carolina. Dmand AI also links Nicholas Fiacco to 2 group practices and clinics and 2 medical groups.

What is Nicholas Ryan Fiacco's office phone number?

The practice phone on file for Nicholas Fiacco is (919) 354-7077.

What is Nicholas Ryan Fiacco's medical license number?

Nicholas Fiacco's North Carolina license number on file is 201801251, one of the licenses on file in 3 states.

Which states has Nicholas Ryan Fiacco been licensed in?

Dmand AI has state licenses on file for Nicholas Fiacco in North Carolina (2018 to 2025), Virginia (2014 to 2018) and District of Columbia (2016).

What medical group is Nicholas Ryan Fiacco part of?

Nicholas Fiacco is linked to Hendersonville OB-GYN Associates. Dmand AI links Nicholas Fiacco to 2 more medical groups.

Does Nicholas Ryan Fiacco accept Medicare?

Yes. CMS data shows Nicholas Fiacco billed Medicare for 56 services in 2024, and Nicholas Fiacco accepts Medicare assignment.

Does Nicholas Ryan Fiacco offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Nicholas Fiacco as offering telehealth services.

How many Medicare patients does Nicholas Ryan Fiacco see?

CMS counts 34 Medicare patients who saw Nicholas Fiacco in 2024, with an average age of 72.

Show 9 more questionsShow fewer questions

Is Nicholas Ryan Fiacco board certified?

Yes. Nicholas Fiacco is board certified in endocrinology, diabetes and metabolism by the American Board of Internal Medicine.

What services does Nicholas Ryan Fiacco bill to Medicare?

In 2024, Nicholas Fiacco's most billed Medicare services were office visit, established patient (99214) and office visit, new patient (99205).

Where did Nicholas Ryan Fiacco go to medical school?

Nicholas Fiacco graduated from Mercer University School of Medicine in 2013.

What drugs does Nicholas Ryan Fiacco prescribe most?

In 2024 Medicare Part D data, Nicholas Fiacco's most prescribed drugs by claims were Ozempic, Metformin HCl ER and Levothyroxine Sodium.

Has Nicholas Ryan Fiacco received payments from drug or device companies?

CMS Open Payments shows $860 in general payments to Nicholas Fiacco from 4 companies from 2017 to 2025. The largest total came from Novo Nordisk Inc.

How long has Nicholas Ryan Fiacco been practicing?

Nicholas Fiacco graduated from medical school in 2013, 13 years ago.

Does Nicholas Ryan Fiacco do research?

Dmand AI links 2 publications to Nicholas Fiacco.

Who does Nicholas Ryan Fiacco publish with?

Nicholas Fiacco's most frequent co-authors are Michael S. Cahill, MD (1 shared paper), Michael K. Cheezum, MD (1 shared paper) and Catherine Foard Coffman, MD (1 shared paper).

What insurance does Nicholas Ryan Fiacco accept?

Nicholas Fiacco is in network with 16 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.

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