MR. DANIEL JAMES NICHOLS (MS, MSM, PA-C) – Physician Assistant, NPI 1780839605
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for MR. DANIEL JAMES NICHOLS (MS, MSM, PA-C)
520, Valley View Drive, Moline, Rock Island County, Illinois, 61265, United States
MOLINE, IL 612656194
Phone: (309) 762-3621
Fax: (309) 762-3690
Type: Location
202 10TH ST SE STE 140
CEDAR RAPIDS, IA 524032432
Phone: (319) 398-1545
Fax: (309) 762-3690
Type: Mailing
202 10TH ST SE
CEDAR RAPIDS, IA 524032414
Phone: (319) 247-3010
Fax: (877) 303-8768
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $58.
Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.
Last reported payment date: 2023-05-19 • Largest payer in this snapshot: Stryker Corporation ($58).
Total Amount
$58
General + Research + Ownership
Payments
1
Total payment records
General Amount
$58
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $58 |
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: 2015-02-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150220000376 | I | Physician Assistant | IL | TBD |
| I20150220001804 | I | Physician Assistant | IA | 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 |
|---|---|---|---|---|
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,392 | 19 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 932 | 102 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 187 | 112 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 93 | $0 |
| 73562 | X-ray of knee, 3 views | 74 | 56 | $0 |
Insurance plans in this area (ZIP 61265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA |
Reviews
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