DR. MICHAEL P NICHOLSON (DO) – Family Medicine Physician, NPI 1407169097

DR. MICHAEL P NICHOLSON (DO) is a healthcare provider. based in West des moines, Iowa. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. DO-04291 (IA). The NPI Number for DR. MICHAEL P NICHOLSON (DO) is 1407169097

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL P NICHOLSON (DO)
NPI
1407169097
Phone
(515) 875-9925
Address
7147 VISTA DR STE 150
Enumeration Date
23 July 2010
Last Update Date
2 January 2024

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
5158759100
Graduation Year
2010 (16 years ago)
PAC ID
2769635911
Group Practice PAC ID
4082513742
Professional Enrollment ID
I20130814000476
Address ID
IA500239188AN1410XDRXX402

Contacts

Secure Messaging
michaelnicholson@tic.allscriptsdirect.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,656 FAMILY PRACTICE in IA

Provider Addresses for DR. MICHAEL P NICHOLSON (DO)

  • 7147 VISTA DR STE 150

    WEST DES MOINES, IA 502669313

    Phone: (515) 875-9925

    Fax: (515) 875-9923

    Type: Mailing

  • PO BOX 424

    DES MOINES, IA 503020424

    Phone: (515) 875-9255

    Fax: (515) 875-9223

    Type: Mailing

  • 1410 SW TRADITION DR

    STE 120

    ANKENY, IA 50023

    Phone: (515) 875-9040

    Fax: (515) 875-9041

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2024-09-06 • Largest payer in this snapshot: ABBVIE INC. ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$37
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: 2013-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130814000476IFamily PracticeIATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes330158$0
36415Insertion of needle into vein for collection of blood sample297165$0
80053Blood test, comprehensive group of blood chemicals223161$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count184138$0
80061Blood test, lipids (cholesterol and triglycerides)141135$0
View full utilization report →

Insurance plans in this area (ZIP 50266)

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Provider's Procedures

DR. MICHAEL P NICHOLSON (DO) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIA90670Pneumococcal vaccine for injection into muscle1414

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: 4082513742View full group profile
NameSpecialtyState
Family PracticeIA
Nurse PractitionerIA
P O D I A T R YIA
Internal MedicineIA
Family PracticeIA
-IA
Family PracticeIA
Orthopedic SurgeryMO
Internal MedicineIA
Family PracticeIA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. MICHAEL P NICHOLSON (DO)'s NPI?
Yes. DR. MICHAEL P NICHOLSON (DO) is listed with NPI 1407169097 in the public NPI dataset.
Is DR. MICHAEL P NICHOLSON (DO) still practicing?
DR. MICHAEL P NICHOLSON (DO) is currently listed as active in the public NPI registry.
What is DR. MICHAEL P NICHOLSON (DO)'s primary classification?
Family Medicine Physician is the headline specialty for DR. MICHAEL P NICHOLSON (DO) here. Clinical services aligned with this taxonomy classification.
Does DR. MICHAEL P NICHOLSON (DO) list a practice location?
Patients near West Des Moines, Iowa may find DR. MICHAEL P NICHOLSON (DO) in results; validate coverage separately.
Why does DR. MICHAEL P NICHOLSON (DO) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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