MR. CHONG H NICHOLLS (MD) – Anesthesiology Physician, NPI 1902850068
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. CHONG H NICHOLLS (MD)
8075 N SHADELAND AVE STE 200
INDIANAPOLIS, IN 462502694
Phone: (317) 621-8500
Type: Location
1200 Ralston Ave
Defiance, OH 435121396
Phone: (419) 783-6944
Type: Location
624 Hospital Drive
Mountain Home, AR 726532955
Phone: (870) 508-1000
Type: Location
Mountain Home Post Office, Coley Drive, Mountain Home, Baxter County, Arkansas, 72653, United States
MOUNTAIN HOME, AR 726542336
Phone: (870) 424-7070
Fax: (870) 424-6616
Type: Mailing
Baxter Regional Medical Center, 624, Hospital Drive, Mountain Home, Baxter County, Arkansas, 72653, United States
MOUNTAIN HOME, AR 726532955
Phone: (870) 508-1000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-02-01
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 |
|---|---|---|---|---|
| I20040927001024 | I | Anesthesiology | CA | TBD |
| I20221221000722 | I | Anesthesiology | VA | TBD |
| I20240201004340 | I | Anesthesiology | MT | 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 |
|---|---|---|---|---|
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 51 | 50 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 31 | 31 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 21 | 21 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 16 | 15 | $0 |
| 01810 | Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand | 14 | 14 | $0 |
Insurance plans in this area (ZIP 46250)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | AR | 36620 | Insertion of arterial catheter for blood sampling or infusion, accessed through the skin | 25 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | MD | |
| Nurse Practitioner | PA | |
| - | PA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | PA | |
| Internal Medicine | PA |
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