DR. NICHOLAS MCKERNAN (MD) – Pain Medicine (Anesthesiology) Physician, NPI 1679738710

DR. NICHOLAS MCKERNAN (MD) is a healthcare provider. based in Dallas, Texas. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. N7946 (TX). The NPI Number for DR. NICHOLAS MCKERNAN (MD) is 1679738710

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICHOLAS MCKERNAN (MD)
NPI
1679738710
Phone
Not provided
Address
PO BOX 844658
Enumeration Date
28 July 2008
Last Update Date
25 January 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
2547242663
Graduation Year
2007 (19 years ago)
PAC ID
4284890468
Group Practice PAC ID
8123923604
Professional Enrollment ID
I20120717000412
Address ID
TX765080001TE2401XBLDG501

Contacts

Secure Messaging
nmckernan23984@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

4,591 ANESTHESIOLOGY in TX

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Provider Addresses for DR. NICHOLAS MCKERNAN (MD)

  • Band Box Place, Dallas, Dallas County, Texas, 75244, United States

    DALLAS, TX 752844658

    Phone:

    Type: Mailing

  • Scott & White Drive, College Station, Brazos County, Texas, 77845, United States

    COLLEGE STATION, TX 778456440

    Phone: (979) 691-3535

    Fax: (979) 691-3536

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $833.

Total Amount is formed as General ($833) + Research ($0) + Ownership ($0) = $833.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Boston Scientific Corporation ($309).

Total Amount

$833

General + Research + Ownership

Payments

29

Total payment records

General Amount

$833

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2012-07-17

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
I20120717000412IAnesthesiologyTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes542305$0
62323Injection of substance into lower spine canal using imaging guidance241142$0
27096Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance197118$0
99204New patient office or other outpatient visit, 45-59 minutes9595$0
62321Injection of substance into middle or upper spine canal using imaging guidance8351$0
View full utilization report →

Insurance plans in this area (ZIP 75284)

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Provider's Procedures

DR. NICHOLAS MCKERNAN (MD) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYTX20610Aspiration and/or injection of large joint or joint capsule10574
ANESTHESIOLOGYTX62311Injections of substances into lower or sacral spine7263
ANESTHESIOLOGYTX64493Injections of lower or sacral spine facet joint using imaging guidance8054

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: 8123923604View full group profile
NameSpecialtyState
Radiation OncologyTX
U R O L O G YTX
General SurgeryOK
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Anesthesiology AssistantTX
-TX
-TX
O B S T E T R I C S/ G Y N E C O L O G YTX
-TX

Reviews

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Frequently asked questions

What number should I use to identify DR. NICHOLAS MCKERNAN (MD) for billing?
Administrative and clinical systems typically use NPI 1679738710 for DR. NICHOLAS MCKERNAN (MD).
Should I treat DR. NICHOLAS MCKERNAN (MD) as an active provider?
Patients and plans typically see DR. NICHOLAS MCKERNAN (MD) as active in the national extract.
What type of care does DR. NICHOLAS MCKERNAN (MD) provide?
DR. NICHOLAS MCKERNAN (MD)'s profile centers on Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NICHOLAS MCKERNAN (MD)?
DR. NICHOLAS MCKERNAN (MD) shows a connection to Dallas, Texas in registry-derived data.
Can I export DR. NICHOLAS MCKERNAN (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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