HECTOR NICODEMUS (MD) – Anesthesiology Physician, NPI 1083671622

HECTOR NICODEMUS (MD) is a healthcare provider. based in Augusta, Georgia. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 62453 (MD). The NPI Number for HECTOR NICODEMUS (MD) is 1083671622

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
HECTOR NICODEMUS (MD)
NPI
1083671622
Phone
Not provided
Address
804 SCOTT NIXON MEMORIAL DR
Enumeration Date
27 April 2006
Last Update Date
24 October 2007

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3017547000
Graduation Year
1998 (28 years ago)
PAC ID
2163478314
Group Practice PAC ID
3577454313
Professional Enrollment ID
I20050427000635
Address ID
MD209101460SI1500XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,398 ANESTHESIOLOGY in MD

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Provider Addresses for HECTOR NICODEMUS (MD)

  • 804, Scott Nixon Memorial Drive, Augusta, Richmond County, Georgia, 30907, United States

    AUGUSTA, GA 309072464

    Phone:

    Type: Mailing

  • University Boulevard West, Northwood Forest, Kemp Mill Estates, Four Corners, Wheaton, Montgomery County, Maryland, 20902-3941, United States

    STE 104

    WHEATON, MD 209021905

    Phone: (301) 942-8799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-12-14 • Largest payer in this snapshot: Trevena, Inc. ($46).

Total Amount

$65

General + Research + Ownership

Payments

3

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-14

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: 2023-01-26

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
I20050427000635IAnesthesiologyDCTBD
I20230126001114IAnesthesiologyMDTBD

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
00910Anesthesia for other procedure on urinary system through urethra2222$0
View full utilization report →

Insurance plans in this area (ZIP 30907)

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Provider's Procedures

HECTOR NICODEMUS (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYMD00142Anesthesia for lens surgery1616

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: 3577454313View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YMD
A N E S T H E S I O L O G YMI
Certified Registered Nurse Anesthetist (Crna)NY
A N E S T H E S I O L O G YMA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YPA
-VA
A N E S T H E S I O L O G YGA
-GA
A N E S T H E S I O L O G YMD

Reviews

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Frequently asked questions

How is HECTOR NICODEMUS (MD) identified in CMS data?
CMS-hosted NPPES data lists HECTOR NICODEMUS (MD) with NPI 1083671622.
Does CMS list HECTOR NICODEMUS (MD) as active?
Yes — HECTOR NICODEMUS (MD) is active in the NPI listing used on this page.
What is HECTOR NICODEMUS (MD)'s specialty?
The listing groups HECTOR NICODEMUS (MD) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect HECTOR NICODEMUS (MD) on a map?
Expect Augusta, Georgia as a primary anchor for HECTOR NICODEMUS (MD) unless the record lists multiple sites.
Why does HECTOR NICODEMUS (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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