LUKE C. NICHOLAS (MD) – MOHS-Micrographic Surgery Physician, NPI 1467509620
MOHS-Micrographic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
38 MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) in MI
Provider Addresses for LUKE C. NICHOLAS (MD)
3290 N Wellness Dr Ste 240
Holland, MI 494247261
Phone: (616) 395-9379
Fax: (616) 820-1457
Type: Location
3434 Rivertown Point Ct SW
Grandville, MI 494183076
Phone: (616) 257-3344
Fax: (616) 257-1491
Type: Location
3434 RIVERTOWN POINT CT SW
GRANDVILLE, MI 494183076
Phone: (616) 257-3344
Fax: (616) 257-1491
Type: Mailing
Walter Reed National Military Medical Center, 8901, Rockville Pike, Glenbrook, Maplewood, Bethesda, Montgomery County, Maryland, 20889, United States
BETHESDA, MD 208890001
Phone: (301) 295-4551
Type: Mailing
6150 NORTHLAND DRIVE
ROCKFORD, MI 49341
Phone: (616) 942-9343
Fax: (616) 942-2538
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 104 Open Payments records for all available years, with a total value of $2,146.
Total Amount is formed as General ($2,146) + Research ($0) + Ownership ($0) = $2,146.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($686).
Total Amount
$2,146
General + Research + Ownership
Payments
104
Total payment records
General Amount
$2,146
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $686 |
| GENZYME CORPORATION | $227 |
| ABBVIE INC. | $216 |
| Janssen Biotech, Inc. | $183 |
| Regeneron Healthcare Solutions, Inc. | $100 |
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: 2019-02-11
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 |
|---|---|---|---|---|
| I20190211001697 | I | Micrographic Dermatologic Surgery (Mds) | MI | 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 |
|---|---|---|---|---|
| 17311 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks | 224 | 182 | $0 |
| 17312 | Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks | 108 | 73 | $0 |
| 13132 | Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm | 67 | 66 | $0 |
| 12032 | Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm | 40 | 35 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 28 | 27 | $0 |
Insurance plans in this area (ZIP 49424)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | IA | |
| Physician Assistant | MI | |
| D E R M A T O L O G Y | MI | |
| D E R M A T O L O G Y | MI | |
| - | MI | |
| Physician Assistant | MI |
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