DR. PATRICIA NICHOLAS (D.P.M.) – Podiatrist, NPI 1174587075

DR. PATRICIA NICHOLAS (D.P.M.) is a healthcare provider. based in Fort myers, Florida. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. PO3946 (FL). The NPI Number for DR. PATRICIA NICHOLAS (D.P.M.) is 1174587075

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA NICHOLAS (D.P.M.)
NPI
1174587075
Phone
(239) 482-2663
Address
12670 CREEKSIDE LN STE 202
Enumeration Date
17 April 2006
Last Update Date
4 October 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2394822663
Graduation Year
1989 (37 years ago)
PAC ID
4082699103
Group Practice PAC ID
9931183639
Professional Enrollment ID
I20190110001135
Address ID
FL339193370FO12670LNXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

Provider Addresses for DR. PATRICIA NICHOLAS (D.P.M.)

  • 12670 CREEKSIDE LN STE 202

    FORT MYERS, FL 339193370

    Phone: (239) 482-2663

    Fax: (239) 485-7585

    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)

CMS reports 54 Open Payments records for all available years, with a total value of $1,785.

Total Amount is formed as General ($1,785) + Research ($0) + Ownership ($0) = $1,785.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($316).

Total Amount

$1,785

General + Research + Ownership

Payments

54

Total payment records

General Amount

$1,785

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2019-01-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040622001746IPodiatryNYTBD
I20190110001135IPodiatryFLTBD

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 minutes1,539484$0
11721Removal of fingernails or toenails, 6 or more nails1,458409$0
99214Established patient office or other outpatient visit, 30-39 minutes463248$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg37652$0
73630X-ray of foot, minimum of 3 views338241$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

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Provider's Procedures

DR. PATRICIA NICHOLAS (D.P.M.) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYNY11720Removal of tissue from 1 to 5 finger or toe nails2118
PODIATRYNY73630X-ray of foot, minimum of 3 views3521

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: 9931183639View full group profile
NameSpecialtyState
Physician AssistantFL
P O D I A T R YNJ
Physician AssistantFL
Orthopedic SurgeryFL
Pain ManagementFL
P O D I A T R YFL
Physician AssistantFL
Physician AssistantFL
Occupational Therapist In Private PracticeFL
Physician AssistantIN

Reviews

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Frequently asked questions

Can I verify DR. PATRICIA NICHOLAS (D.P.M.) with an NPI only?
You can start verification with NPI 1174587075 for DR. PATRICIA NICHOLAS (D.P.M.), then check state licensing separately.
Does the file indicate DR. PATRICIA NICHOLAS (D.P.M.) is practicing under active NPI?
Directory data currently reports DR. PATRICIA NICHOLAS (D.P.M.) as active.
What is DR. PATRICIA NICHOLAS (D.P.M.)'s primary classification?
Podiatrist is the headline specialty for DR. PATRICIA NICHOLAS (D.P.M.) here. Clinical services aligned with this taxonomy classification.
Does DR. PATRICIA NICHOLAS (D.P.M.) list a practice location?
Patients near Fort Myers, Florida may find DR. PATRICIA NICHOLAS (D.P.M.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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