DR. JONATHAN MATTHEW NICKOLOFF (M.D,) – Surgery Physician, NPI 1891742664
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
826 GENERAL SURGERY in WA
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Provider Addresses for DR. JONATHAN MATTHEW NICKOLOFF (M.D,)
PO BOX 421
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Fax: (509) 227-7070
Type: Mailing
Columbia Hearing Centers, 9922, North Nevada Street, Spokane, Spokane County, Washington, 99218, United States
SPOKANE, WA 992181126
Phone: (509) 747-6194
Fax: (509) 838-0824
Type: Location
37th @ Arthur, East 37th Avenue, Comstock, Spokane, Spokane County, Washington, 99203, United States
SPOKANE, WA 992102242
Phone: (509) 747-6194
Fax: (509) 252-2837
Type: Mailing
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 $31.
Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.
Last reported payment date: 2023-06-20 • Largest payer in this snapshot: Ethicon US, LLC ($31).
Total Amount
$31
General + Research + Ownership
Payments
1
Total payment records
General Amount
$31
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ethicon US, LLC | $31 |
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: 2006-03-24
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 |
|---|---|---|---|---|
| I20060324000052 | I | General Surgery | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 83 | 83 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 83 | 48 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 43 | 43 | $0 |
| 99291 | Critical care, first 30-74 minutes | 30 | 14 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 30 | 30 | $0 |
Insurance plans in this area (ZIP 99019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Internal Medicine | WA | |
| - | WA | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA | |
| Internal Medicine | WA | |
| - | WA | |
| - | WA |
Reviews
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