DR. FLORIAN NICKISCH (MD) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1598748725

DR. FLORIAN NICKISCH (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 2005-01034 (NC). The NPI Number for DR. FLORIAN NICKISCH (MD) is 1598748725

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. FLORIAN NICKISCH (MD)
NPI
1598748725
Phone
(801) 587-5486
Address
590 WAKARA WAY
Enumeration Date
22 November 2005
Last Update Date
23 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012132995
Graduation Year
1998 (28 years ago)
PAC ID
1153381595
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20070723000121
Address ID
UT841320100SA50XXXDRXX400
Telehealth
Yes

Contacts

Secure Messaging
fnickisch35494@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Other namesUpdated within 12 months

325 ORTHOPEDIC SURGERY in UT

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Provider Addresses for DR. FLORIAN NICKISCH (MD)

  • 590, Wakara Way, Research Park, Salt Lake City, Salt Lake County, Utah, 84108, United States

    SALT LAKE CITY, UT 841081200

    Phone: (801) 587-5486

    Fax: (801) 587-5411

    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 5 Open Payments records for all available years, with a total value of $739.

Total Amount is formed as General ($739) + Research ($0) + Ownership ($0) = $739.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($651).

Total Amount

$739

General + Research + Ownership

Payments

5

Total payment records

General Amount

$739

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

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: 2007-07-23

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
I20070723000121IOrthopedic SurgeryUTTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes123100$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
99215Established patient office or other outpatient visit, 40-54 minutes3836$0
99213Established patient office or other outpatient visit, 20-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 84108)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

How do I look up DR. FLORIAN NICKISCH (MD) by NPI?
Use NPI 1598748725 when you need to reference DR. FLORIAN NICKISCH (MD) in forms, claims, or directories.
Is DR. FLORIAN NICKISCH (MD) active in the national directory?
DR. FLORIAN NICKISCH (MD)'s public NPI profile is in an active state.
Can you summarize DR. FLORIAN NICKISCH (MD)'s specialty in plain language?
Clinically, the directory lists DR. FLORIAN NICKISCH (MD) with Orthopaedic Foot and Ankle Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. FLORIAN NICKISCH (MD)?
We surface Salt Lake City, Utah for DR. FLORIAN NICKISCH (MD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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