NICHOLAS BAHL (MD) – Surgery Physician, NPI 1083149777

NICHOLAS BAHL (MD) is a healthcare provider. based in Palmer, Alaska. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 185227 (AK). The NPI Number for NICHOLAS BAHL (MD) is 1083149777

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS BAHL (MD)
NPI
1083149777
Phone
(907) 746-1520
Address
425 E Dahlia Ave Ste J
Enumeration Date
1 May 2017
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9073579590
Graduation Year
2017 (9 years ago)
PAC ID
7911276050
Group Practice PAC ID
3072618859
Professional Enrollment ID
I20220902000531
Address ID
AK996547254WA3066XLOOP500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

92 GENERAL SURGERY in AK

Provider Addresses for NICHOLAS BAHL (MD)

  • 425 E Dahlia Ave Ste J

    Palmer, AK 996456463

    Phone: (907) 746-1520

    Type: Location

  • Regional Medical Center Bayonet Point, 14000, Fivay Road, Hudson, Pasco County, Florida, 34667, United States

    HUDSON, FL 346677103

    Phone: (727) 819-2966

    Fax: (727) 819-2928

    Type: Mailing

  • 425 E DAHLIA AVE STE J

    PALMER, AK 996456463

    Phone: (907) 746-1520

    Type: Mailing

  • 3122 E MERIDIAN PARK LOOP

    WASILLA, AK 996547255

    Phone: (907) 864-4625

    Fax: (907) 313-1540

    Type: Mailing

  • 3066 E MERIDIAN PARK LOOP

    WASILLA, AK 996547254

    Phone: (907) 357-2332

    Fax: (907) 357-9593

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 66 Open Payments records for all available years, with a total value of $11,741.

Total Amount is formed as General ($11,741) + Research ($0) + Ownership ($0) = $11,741.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($5,153).

Total Amount

$11,741

General + Research + Ownership

Payments

66

Total payment records

General Amount

$11,741

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2022-09-02

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220902000531IGeneral SurgeryAKTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6761$0
45380Biopsy of large bowel using a flexible endoscope6363$0
99203New patient office or other outpatient visit, 30-44 minutes5252$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4822$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4745$0
View full utilization report →

Insurance plans in this area (ZIP 99645)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072618859View full group profile
NameSpecialtyState
Physician AssistantGA
Certified Nurse Midwife (Cnm)AK
-CO
-AL
Physician AssistantAK
Physical Medicine And Rehabilitation, Sports MedicineAK
Physician AssistantAK
General SurgeryAK
-AK
Physician AssistantWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICHOLAS BAHL (MD)?
NICHOLAS BAHL (MD) — NPI 1083149777 — is the standard way to identify this listing.
Is NICHOLAS BAHL (MD) listed as active for patients and plans?
The listing shows NICHOLAS BAHL (MD) as active in the NPI system.
What taxonomy line describes NICHOLAS BAHL (MD)?
For research purposes, treat NICHOLAS BAHL (MD) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is NICHOLAS BAHL (MD) based?
NICHOLAS BAHL (MD) is tied to Palmer, Alaska in the data we show; additional addresses may exist on the full record.
Why does NICHOLAS BAHL (MD) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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