CODY NIKOLAI (M.D.) – Surgery Physician, NPI 1295952539

CODY NIKOLAI (M.D.) is a healthcare provider. based in Hershey, Pennsylvania. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. MT186260 (PA). The NPI Number for CODY NIKOLAI (M.D.) is 1295952539

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
CODY NIKOLAI (M.D.)
NPI
1295952539
Phone
(717) 531-1692
Address
500 UNIVERSITY DR
Enumeration Date
19 April 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
7156232351
Graduation Year
2005 (21 years ago)
PAC ID
6901052695
Group Practice PAC ID
1557271202
Professional Enrollment ID
I20120813000402
Address ID
WI544092710AN110XXAVEX400
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

1,620 ORTHOPEDIC SURGERY in PA

Provider Addresses for CODY NIKOLAI (M.D.)

  • 500 UNIVERSITY DR

    H088

    HERSHEY, PA 170332360

    Phone: (717) 531-1692

    Mailing address matches the actual address.

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 $9.

Total Amount is formed as General ($9) + Research ($0) + Ownership ($0) = $9.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Lifeward, Inc. ($9).

Total Amount

$9

General + Research + Ownership

Payments

1

Total payment records

General Amount

$9

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Lifeward, Inc.$9
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: 2012-08-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-08-31 (1013 days ago).

Enrollment records

1

Earliest due date

2023-08-31

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
I20120813000402IOrthopedic SurgeryWI2023-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 17033)

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Provider's Procedures

CODY NIKOLAI (M.D.) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYPA20610Aspiration and/or injection of large joint or joint capsule2218

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: 1557271202View full group profile
NameSpecialtyState
Internal MedicineWI
Nurse PractitionerWI
Nurse PractitionerWI
General SurgeryNJ
Interventional Cardiology, Cardiovascular Disease (Cardiology), Otolaryngology, Internal MedicineMN
Physician AssistantWI
Nurse PractitionerWI
Clinical Social WorkerWI
Family PracticeWI
Family PracticeAR

Reviews

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Frequently asked questions

Is CODY NIKOLAI (M.D.) listed with a National Provider Identifier?
Yes — CODY NIKOLAI (M.D.) has NPI 1295952539 on file in the registry.
Is there an active status for CODY NIKOLAI (M.D.)?
For scheduling context, CODY NIKOLAI (M.D.) is shown as active in the registry.
What expertise is attributed to CODY NIKOLAI (M.D.)?
CODY NIKOLAI (M.D.)'s specialty line reads Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with CODY NIKOLAI (M.D.)?
Directory geography for CODY NIKOLAI (M.D.) centers on Hershey, Pennsylvania.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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