KEITH CAMERON NICHOLS (MD) – Vascular Surgery Physician, NPI 1538194766
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,232 EMERGENCY MEDICINE in FL
Provider Addresses for KEITH CAMERON NICHOLS (MD)
3400 Forest Hill Blvd
West Palm Beach, FL 334065815
Phone: (561) 357-5636
Fax: (561) 357-9012
Type: Location
600 Village Square Xing
Palm Beach Gardens, FL 334104543
Phone: (561) 694-9493
Fax: (561) 694-9064
Type: Location
121 S State Road 7
Wellington, FL 334144338
Phone: (561) 296-9666
Fax: (561) 296-9667
Type: Location
397 CHURCHILL HUBBARD RD
YOUNGSTOWN, OH 445051375
Phone: (330) 759-6750
Fax: (866) 687-4439
Type: Mailing
8316 Arlington Blvd Ste 515
Fairfax, VA 220315216
Phone: (301) 486-4690
Fax: (301) 441-8809
Type: Location
900 VILLAGE SQUARE XING STE 290
PALM BEACH GARDENS, FL 334104552
Phone: (239) 313-2517
Fax: (239) 313-2555
Type: Mailing
1096 W INDIANTOWN RD STE 100
JUPITER, FL 334586855
Phone: (561) 222-2200
Fax: (561) 222-2201
Type: Location
Applied Research Associates Inc, 1500, Breezeport Way, Harbour Breeze Estates, Suffolk, Virginia, 23435, United States
SUITE 100
SUFFOLK, VA 234353727
Phone: (757) 686-9747
Fax: (757) 686-9748
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $283.
Total Amount is formed as General ($283) + Research ($0) + Ownership ($0) = $283.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: CashFlow Solutions, LLC ($116).
Total Amount
$283
General + Research + Ownership
Payments
16
Total payment records
General Amount
$283
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CashFlow Solutions, LLC | $116 |
| E.R. Squibb & Sons, L.L.C. | $84 |
| PFIZER INC. | $36 |
| Medtronic, Inc. | $29 |
| Organogenesis Inc. | $19 |
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: 2026-02-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20040824000111 | I | Emergency Medicine | VA | TBD |
| I20210316001822 | I | Vascular Surgery | DC | TBD |
| I20260204001586 | I | Vascular Surgery | FL | 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 |
|---|---|---|---|---|
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 907 | 355 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 486 | 387 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 267 | 212 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 215 | $0 |
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 212 | 131 | $0 |
Insurance plans in this area (ZIP 33406)
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Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MD | |
| Emergency Medicine | MD | |
| Internal Medicine | NY | |
| Emergency Medicine, Internal Medicine | MD | |
| Cardiovascular Disease (Cardiology), Internal Medicine | NJ | |
| - | FL | |
| Physician Assistant | GA | |
| Nurse Practitioner | UT | |
| - | VA | |
| Emergency Medicine | MD |
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