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ANDREW GORDON NICHOLSON MD
NPI 1063041960
Surgery in Otsego, MN

Active since April 03, 2020PECOS EnrolledAccepts Medicare Assignment
7559 ODAY LN NE, OTSEGO, MN 55330(612) 214-0386 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 13, 2026, Nov 7, 2025, Apr 3, 2020 (3 updates tracked since 2020).

About Andrew Gordon Nicholson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW GORDON NICHOLSON MD (NPI 1063041960) is an individual surgery provider in Otsego, Minnesota, licensed in Minnesota (79893) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063041960
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW GORDON NICHOLSONCredential: MD
Location Address7559 ODAY LN NEOtsego, MN 55330-6314
Mailing Address7559 Oday Ln NeOtsego, MN 55330-6314 · (913) 498-6537
Phone(612) 214-0386
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 3, 2020
Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2026
✔ NPI 1063041960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MN · 79893
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
7559 ODAY LN NE, Otsego, MN 55330
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew Gordon Nicholson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143728683
PECOS Enrollment IDI20250813001354
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TITAN WOUND CARE PLLC
Clinic/Center (Medical Specialty)
7559 ODAY LN NE
OTSEGO, MN 55330
Sherburne County (612) 214-0386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Nicholson's NPI number?

The NPI number for Andrew Nicholson is 1063041960. It was assigned to this individual provider in the NPPES registry on April 3, 2020.

Where is Andrew Nicholson located?

Andrew Nicholson practices at 7559 Oday Ln NE, Otsego, MN 55330. The listed phone number is (612) 214-0386.

What is Andrew Nicholson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Nicholson enrolled in Medicare?

Yes. Andrew Nicholson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Andrew Nicholson was last updated on January 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.