KEVIN G NICKELL (MD) – Urology Physician, NPI 1053388785

KEVIN G NICKELL (MD) is a healthcare provider. based in Houston, Texas. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. J0783 (TX). The NPI Number for KEVIN G NICKELL (MD) is 1053388785

Main info

Male
37 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN G NICKELL (MD)
NPI
1053388785
Phone
(713) 351-0644
Address
7777 SOUTHWEST FWY
Enumeration Date
1 March 2006
Last Update Date
27 April 2026

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
7137719224
Graduation Year
1989 (37 years ago)
PAC ID
3274508163
Group Practice PAC ID
3971508235
Professional Enrollment ID
I20061025000723
Address ID
TX770741812HO7777XFWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

861 UROLOGY in TX

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Provider Addresses for KEVIN G NICKELL (MD)

  • Southwest Freeway, Houston, Harris County, Texas, 77010, United States

    # 1032

    HOUSTON, TX 770741802

    Phone: (713) 351-0644

    Fax: (713) 351-0633

    Type: Location

  • Houston Post Office, 2087, AR 60, Houston, Perry County, Arkansas, 72070, United States

    HOUSTON, TX 772511400

    Phone: (713) 351-0644

    Fax: (713) 351-0633

    Type: Mailing

  • 16605 SOUTHWEST FWY STE 250

    SUGAR LAND, TX 774793476

    Phone: (713) 351-0644

    Fax: (713) 351-0633

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 160 Open Payments records for all available years, with a total value of $4,421.

Total Amount is formed as General ($4,421) + Research ($0) + Ownership ($0) = $4,421.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($529).

Total Amount

$4,421

General + Research + Ownership

Payments

160

Total payment records

General Amount

$4,421

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-10-25

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061025000723IUrologyTXTBD

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
81003Automated urinalysis test932617$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month733114$0
99214Established patient office or other outpatient visit, 30-39 minutes693484$0
99213Established patient office or other outpatient visit, 20-29 minutes514347$0
36415Insertion of needle into vein for collection of blood sample358264$0
View full utilization report →

Insurance plans in this area (ZIP 77074)

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Provider's Procedures

KEVIN G NICKELL (MD) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYTX55700Biopsy of prostate gland2020
UROLOGYTX76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle2020

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: 3971508235View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyTX
U R O L O G YTX
Nurse PractitionerTX
U R O L O G YTX
O B S T E T R I C S/ G Y N E C O L O G YOK
U R O L O G YTX
Physical Therapist In Private PracticeTX
Nurse PractitionerTX
-TX
U R O L O G YTX

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Frequently asked questions

Can I verify KEVIN G NICKELL (MD) with an NPI only?
You can start verification with NPI 1053388785 for KEVIN G NICKELL (MD), then check state licensing separately.
Can I rely on KEVIN G NICKELL (MD) being an active provider?
As of the registry snapshot, KEVIN G NICKELL (MD) is marked active.
What is KEVIN G NICKELL (MD)'s primary classification?
Urology Physician is the headline specialty for KEVIN G NICKELL (MD) here. Clinical services aligned with this taxonomy classification.
What area does KEVIN G NICKELL (MD) serve?
KEVIN G NICKELL (MD)'s listing highlights Houston, Texas; more addresses can appear in NPPES.
Why does KEVIN G NICKELL (MD) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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