NICOLE CONKLING (MD) – Surgery of the Hand (Plastic Surgery) Physician, NPI 1477895779
Surgery of the Hand (Plastic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
803 PLASTIC AND RECONSTRUCTIVE SURGERY in CA
Provider Addresses for NICOLE CONKLING (MD)
200 S MANCHESTER AVE STE 650
ORANGE, CA 928683224
Phone:
Type: Mailing
UCSF DEPARTMENT OF SURGERY
513 PARNASSUS AVENUE, S-321
SAN FRANCISCO, CA 941430470
Phone: (415) 476-2773
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 60 Open Payments records for all available years, with a total value of $8,286.
Total Amount is formed as General ($8,286) + Research ($0) + Ownership ($0) = $8,286.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: TELA Bio, Inc. ($3,060).
Total Amount
$8,286
General + Research + Ownership
Payments
60
Total payment records
General Amount
$8,286
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TELA Bio, Inc. | $3,060 |
| TriMed, Inc. | $1,876 |
| AXOGEN | $1,151 |
| Mentor Worldwide LLC | $357 |
| PolyNovo North America LLC | $356 |
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: 2023-08-03
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 |
|---|---|---|---|---|
| I20230803000768 | I | Plastic And Reconstructive Surgery | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92868)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Plastic And Reconstructive Surgery | WA | |
| Plastic And Reconstructive Surgery, Hand Surgery | MN | |
| Plastic And Reconstructive Surgery | CT | |
| Plastic And Reconstructive Surgery | CA | |
| Nurse Practitioner | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| Plastic And Reconstructive Surgery | CA | |
| - | CA |
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