NICHOLAS PAUL NUNNALLY (D.O.) – Surgery Physician, NPI 1043436462

NICHOLAS PAUL NUNNALLY (D.O.) is a healthcare provider. based in Lapeer, Michigan. specializing in GENERAL SURGERY. They hold the professional credentials D.O.. They hold a License No. 5101016846 (MI). The NPI Number for NICHOLAS PAUL NUNNALLY (D.O.) is 1043436462

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS PAUL NUNNALLY (D.O.)
NPI
1043436462
Phone
(810) 667-5590
Address
1375 N MAIN ST
Enumeration Date
17 April 2007
Last Update Date
13 October 2016

Doctor Profile

Medical School Name
MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Secondary Phone
9793158122
Graduation Year
2006 (20 years ago)
PAC ID
7214099787
Group Practice PAC ID
6800179292
Professional Enrollment ID
I20240412003159
Address ID
TX778022587BR2700XSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,444 GENERAL SURGERY in MI

Provider Addresses for NICHOLAS PAUL NUNNALLY (D.O.)

  • 1375 N MAIN ST

    LAPEER, MI 484461350

    Phone: (810) 667-5590

    Type: Location

  • 401 S BALLENGER HWY

    FLINT, MI 485323638

    Phone:

    Type: Mailing

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 $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Intuitive Surgical, Inc.$23
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: 2024-04-12

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081217000162IGeneral SurgeryMITBD
I20240412003159IGeneral SurgeryTXTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes8985$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes5330$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4833$0
99239Hospital discharge day management, more than 30 minutes1414$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48446)

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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: 6800179292View full group profile
NameSpecialtyState
Colorectal Surgery (Proctology), General Surgery, General SurgeryKS
-TX
Physician AssistantIL

Reviews

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Frequently asked questions

Where can patients find NICHOLAS PAUL NUNNALLY (D.O.)'s NPI?
You can confirm NICHOLAS PAUL NUNNALLY (D.O.) with NPI 1043436462; it appears in the national provider directory.
Is NICHOLAS PAUL NUNNALLY (D.O.)'s NPI currently valid?
The extract we use shows NICHOLAS PAUL NUNNALLY (D.O.) as active.
Does NICHOLAS PAUL NUNNALLY (D.O.) list a primary specialty?
If you are matching referrals, note Surgery Physician for NICHOLAS PAUL NUNNALLY (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for NICHOLAS PAUL NUNNALLY (D.O.)?
We surface Lapeer, Michigan for NICHOLAS PAUL NUNNALLY (D.O.) based on available NPPES addresses.
What if Lapeer, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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