JEFFREY J NICHOLS (DO) – Anesthesiology Physician, NPI 1710910559
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
556 ANESTHESIOLOGY in IA
Provider Addresses for JEFFREY J NICHOLS (DO)
2636 NE 96TH AVE
ANKENY, IA 500219399
Phone: (515) 965-9213
Fax: (515) 965-9213
Type: Mailing
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (319) 356-2633
Fax: (319) 356-2940
Type: Mailing
Vineyard Community Church, 700, East University Avenue, Des Moines, Polk County, Iowa, 50316, United States
DES MOINES, IA 503162302
Phone: (515) 263-5833
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $270.
Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.
Last reported payment date: 2024-12-14 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($121).
Total Amount
$270
General + Research + Ownership
Payments
5
Total payment records
General Amount
$270
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $121 |
| Boston Scientific Corporation | $110 |
| Chiesi USA, Inc. | $25 |
| Pajunk Medical Systems, LP | $14 |
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: 2007-10-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20071009000553 | I | Anesthesiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
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