DAVID NICKERSON (MD) – Emergency Medicine Physician, NPI 1982922001
Emergency Medicine Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
111 EMERGENCY MEDICINE in WY
Provider Addresses for DAVID NICKERSON (MD)
1401 W 5TH ST
SHERIDAN MEMORIAL HOSPITAL EMERGENCY DEPT
SHERIDAN, WY 828012705
Phone: (512) 569-3696
Type: Mailing
1333 W 5TH ST
SHERIDAN, WY 828012752
Phone: (512) 569-3696
Type: Location
1333 W 5TH ST STE 110
SHERIDAN, WY 828012752
Phone: (307) 675-5850
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2013-10-09
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 |
|---|---|---|---|---|
| I20131009000854 | I | Emergency Medicine | WY | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 348 | 305 | $0 |
| 87636 | Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b | 204 | 189 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 81 | $0 |
| 71045 | X-ray of chest, 1 view | 79 | 75 | $0 |
| 81003 | Automated urinalysis test | 66 | 65 | $0 |
Insurance plans in this area (ZIP 82801)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | WY | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 15 | 15 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| General Surgery | WY | |
| General Surgery | WY | |
| Internal Medicine | CO | |
| Internal Medicine | CO | |
| Orthopedic Surgery | WY | |
| - | WY | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN | |
| Nurse Practitioner | WY | |
| Internal Medicine | IL | |
| P S Y C H I A T R Y | WA |
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