NICHOLAS JOSEPH DOKIANOS (PA) – Physician Assistant, NPI 1104301332

NICHOLAS JOSEPH DOKIANOS (PA) is a healthcare provider. based in Crestview, Florida. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA9111676 (FL). The NPI Number for NICHOLAS JOSEPH DOKIANOS (PA) is 1104301332

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS JOSEPH DOKIANOS (PA)
NPI
1104301332
Phone
(850) 689-8100
Address
151 E Redstone Ave
Enumeration Date
3 October 2018
Last Update Date
31 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8508640213
Graduation Year
2018 (8 years ago)
PAC ID
1850635665
Group Practice PAC ID
5294021358
Professional Enrollment ID
I20181205002335
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

Provider Addresses for NICHOLAS JOSEPH DOKIANOS (PA)

  • 151 E Redstone Ave

    Crestview, FL 325395352

    Phone: (850) 689-8100

    Type: Location

  • Fort Walton Beach Medical Center, 1000, Mar Walt Drive, Wright, Fort Walton Beach, Okaloosa County, Florida, 32547, United States

    FORT WALTON BEACH, FL 325476708

    Phone: (850) 862-1111

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2023-09-27 • Largest payer in this snapshot: Amgen Inc. ($90).

Total Amount

$161

General + Research + Ownership

Payments

2

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2018-12-05

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
I20181205002335IPhysician AssistantFLTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8584$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 32539)

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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: 5294021358View full group profile

Reviews

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Frequently asked questions

How do payers reference NICHOLAS JOSEPH DOKIANOS (PA)?
For NICHOLAS JOSEPH DOKIANOS (PA), use NPI 1104301332 as the unique 10-digit identifier.
Is NICHOLAS JOSEPH DOKIANOS (PA) still an active registrant?
NICHOLAS JOSEPH DOKIANOS (PA) carries an active NPI according to the public dataset.
What expertise is attributed to NICHOLAS JOSEPH DOKIANOS (PA)?
NICHOLAS JOSEPH DOKIANOS (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with NICHOLAS JOSEPH DOKIANOS (PA)?
Directory geography for NICHOLAS JOSEPH DOKIANOS (PA) centers on Crestview, Florida.
Can I trust this NPI listing for NICHOLAS JOSEPH DOKIANOS (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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