DR. ROBERT KENNETH JR. NICHOLS (M.D.) – Specialist, NPI 1013069939
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,215 INTERNAL MEDICINE in AL
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Provider Addresses for DR. ROBERT KENNETH JR. NICHOLS (M.D.)
120, East Main Street, Hunting Ridge, Prattville, Autauga County, Alabama, 36067, United States
PRATTVILLE, AL 360673114
Phone: (334) 361-0986
Fax: (334) 361-1134
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110215000490 | I | Internal Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 1,296 | 43 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 280 | 132 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 174 | 125 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 114 | 114 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 104 | 90 | $0 |
Insurance plans in this area (ZIP 36067)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | AL | 17003 | Destruction of 2-14 skin growths | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| - | AL | |
| Addiction Medicine, Family Practice | AL | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | AL | |
| Family Practice | AL | |
| Family Practice | AL | |
| Physician Assistant | AL | |
| - | AL | |
| Interventional Cardiology | AL |
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