SCOTT A. NICKLEBUR (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1740233600

SCOTT A. NICKLEBUR (MD) is a healthcare provider. based in Round rock, Texas. specializing in Emergency Medical Services (Emergency Medicine) Physician. They hold the professional credentials MD. They hold a License No. L3040 (TX). The NPI Number for SCOTT A. NICKLEBUR (MD) is 1740233600

Main info

Male
Name
SCOTT A. NICKLEBUR (MD)
NPI
1740233600
Phone
(512) 509-0200
Address
302 UNIVERSITY BLVD
Enumeration Date
19 May 2006
Last Update Date
7 January 2021

Contacts

Secure Messaging
snicklebur15712@direct.sw.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for SCOTT A. NICKLEBUR (MD)

  • 302 UNIVERSITY BLVD

    ROUND ROCK, TX 786651032

    Phone: (512) 509-0200

    Type: Location

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (254) 724-8800

    Type: Mailing

  • West Campus Drive, Temple, Bell County, Texas, 76503, United States

    TEMPLE, TX 765027124

    Phone: (254) 298-3388

    Fax: (254) 298-3012

    Type: Location

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: 2005-01-06

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
I20050106000278IEmergency MedicineTXTBD

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

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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
99283Emergency department visit with low level of medical decision making5554$0
99284Emergency department visit with moderate level of medical decision making4646$0
99285Emergency department visit with high level of medical decision making1616$0
99282Emergency department visit with straightforward medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 78665)

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Reviews

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Frequently asked questions

What unique ID ties claims to SCOTT A. NICKLEBUR (MD)?
NPI 1740233600 is assigned to SCOTT A. NICKLEBUR (MD) under the national enumeration system.
Is SCOTT A. NICKLEBUR (MD)'s NPI currently valid?
The extract we use shows SCOTT A. NICKLEBUR (MD) as active.
Can you summarize SCOTT A. NICKLEBUR (MD)'s specialty in plain language?
Clinically, the directory lists SCOTT A. NICKLEBUR (MD) with Emergency Medical Services (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SCOTT A. NICKLEBUR (MD)?
The page summarizes Round Rock, Texas for SCOTT A. NICKLEBUR (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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