WILLIAM D IV NICHOLSON (MD) – Surgery Physician, NPI 1154327617
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
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Provider Addresses for WILLIAM D IV NICHOLSON (MD)
Independence Parkway, Plano, Collin County, Texas, 75075, United States
STE 115
PLANO, TX 750254000
Phone: (972) 494-3100
Fax: (972) 608-0005
Type: Location
Legacy Drive, Plano, Collin County, Texas, 75074, United States
SUITE 200
PLANO, TX 750243373
Phone: (972) 494-3100
Fax: (972) 608-0005
Type: Mailing
5000 LEGACY DR STE 215
PLANO, TX 750243181
Phone: (972) 494-3100
Fax: (972) 608-0005
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $14,790.
Total Amount is formed as General ($14,790) + Research ($0) + Ownership ($0) = $14,790.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($9,986).
Total Amount
$14,790
General + Research + Ownership
Payments
66
Total payment records
General Amount
$14,790
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $9,986 |
| Medtronic, Inc. | $2,848 |
| Medical Device Business Services, Inc. | $1,170 |
| Ethicon US, LLC | $623 |
| W. L. Gore & Associates, Inc. | $132 |
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: 2008-11-04
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 |
|---|---|---|---|---|
| I20081104000549 | I | General Surgery | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | TX | |
| Clinical Social Worker | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Orthopedic Surgery | TX | |
| Clinical Psychologist | TX |
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