CLINTON R NICHOLS (MD) – Diagnostic Radiology Physician, NPI 1750355657
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,793 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for CLINTON R NICHOLS (MD)
8745, Aero Drive, Serra Mesa, San Diego, San Diego County, California, 92123, United States
SUITE 200
SAN DIEGO, CA 921231774
Phone: (858) 565-0950
Fax: (858) 244-1100
Type: Location
PO BOX 23540
SAN DIEGO, CA 921933540
Phone: (858) 565-0950
Fax: (858) 244-1100
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 64 Open Payments records for all available years, with a total value of $3,415.
Total Amount is formed as General ($3,415) + Research ($0) + Ownership ($0) = $3,415.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Siemens Medical Solutions USA, Inc. ($1,198).
Total Amount
$3,415
General + Research + Ownership
Payments
64
Total payment records
General Amount
$3,415
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Siemens Medical Solutions USA, Inc. | $1,198 |
| Inari Medical, Inc. | $1,158 |
| Penumbra, Inc. | $405 |
| Cook Medical LLC | $125 |
| Philips Electronics North America Corporation | $123 |
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: 2004-07-14
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 |
|---|---|---|---|---|
| I20040714001607 | I | Diagnostic Radiology | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,710 | 19 | $0 |
| 71045 | X-ray of chest, 1 view | 405 | 372 | $0 |
| 71046 | X-ray of chest, 2 views | 116 | 114 | $0 |
| 70450 | Ct scan head or brain without contrast | 75 | 73 | $0 |
| 49083 | Drainage of fluid from abdominal cavity using imaging guidance | 41 | 30 | $0 |
Insurance plans in this area (ZIP 92123)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 20610 | Aspiration and/or injection of large joint or joint capsule | 20 | 18 |
| DIAGNOSTIC RADIOLOGY | CA | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 14 | 14 |
| DIAGNOSTIC RADIOLOGY | CA | 71250 | CT scan chest | 29 | 26 |
| DIAGNOSTIC RADIOLOGY | CA | 73110 | X-ray of wrist, minimum of 3 views | 20 | 15 |
| DIAGNOSTIC RADIOLOGY | CA | 73630 | X-ray of foot, minimum of 3 views | 18 | 15 |
| DIAGNOSTIC RADIOLOGY | CA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 12 | 12 |
| DIAGNOSTIC RADIOLOGY | CA | 77012 | Radiological supervision and interpretation of CT guidance for needle insertion | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| Diagnostic Radiology, Interventional Cardiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology, Interventional Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | MA | |
| Diagnostic Radiology | CA |
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