DR. ALPHONSO III NICHOLS (MD) – Psychiatry Physician, NPI 1003890666
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
398 PSYCHIATRY in KY
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Provider Addresses for DR. ALPHONSO III NICHOLS (MD)
La Grange, Vif, Grenoble, Isère, Auvergne-Rhône-Alpes, Metropolitan France, 38450, France
LA GRANGE, KY 400310045
Phone: (502) 817-0927
Fax: (502) 805-0690
Type: Mailing
3121, Brooklawn Campus Drive, Louisville, Jefferson County, Kentucky, 40218, United States
LOUISVILLE, KY 402181282
Phone: (502) 817-0927
Fax: (502) 805-0690
Type: Location
9750 MIRAMAR RD STE 200
SAN DIEGO, CA 921264562
Phone: (858) 412-7362
Fax: (858) 368-9797
Type: Location
10755 SCRIPPS POWAY PKWY # 455
SAN DIEGO, CA 921313924
Phone: (858) 412-7362
Fax: (858) 368-9797
Type: Mailing
10672 WEXFORD ST STE 280
SAN DIEGO, CA 921313973
Phone: (858) 412-7362
Fax: (858) 368-9797
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 $40.
Total Amount is formed as General ($40) + Research ($0) + Ownership ($0) = $40.
Last reported payment date: 2023-03-11 • Largest payer in this snapshot: Ironshore Pharmaceuticals Inc. ($25).
Total Amount
$40
General + Research + Ownership
Payments
2
Total payment records
General Amount
$40
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-03-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ironshore Pharmaceuticals Inc. | $25 |
| Otsuka America Pharmaceutical, Inc. | $16 |
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: 2022-07-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220714001011 | I | Psychiatry | CA | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 217 | 37 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 184 | 29 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 20 | 20 | $0 |
Insurance plans in this area (ZIP 40031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Allergy/Immunology, Internal Medicine | CA | |
| P S Y C H I A T R Y | CA |
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