TERRY PAUL NICKERSON MD
NPI 1063733350
Colon & Rectal Surgery in Roanoke, VA

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
3 RIVERSIDE CIR, ROANOKE, VA 24016(540) 526-1251 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 10, 2022, Dec 10, 2020, Oct 2, 2019 and 2 more (5 updates tracked since 2016).

About Terry Paul Nickerson Md NPPES

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

TERRY PAUL NICKERSON MD (NPI 1063733350) is an individual colon & rectal surgery provider in Roanoke, Virginia, licensed in Virginia (0101267266) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of University Of Alabama School Of Medicine (2010).

NPPES Registry Identity

NPI1063733350
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameTERRY PAUL NICKERSONCredential: MD
Location Address3 RIVERSIDE CIRRoanoke, VA 24016-4955
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5715
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2010
Enumeration DateJune 21, 2010
Last NPPES UpdateAugust 10, 20225 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1063733350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in VA · 0101267266
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

3 RIVERSIDE CIR, Roanoke, VA 24016

Other Identifiers 1

Medicaid362964401TX

Accepted Insurance

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

Terry Paul Nickerson 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 ID2466626999
PECOS Enrollment IDI20190923000951
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services18 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490089
Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24016 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers13 claims320 services$2.67 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
4 suppliers15 claims184 services$2.51 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
5 suppliers23 claims695 services$5.82 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
5 suppliers22 claims680 services$3.32 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with locking flange, with filter (2 piece system), each A4427
DME-Orthotic Devices · category DF010N
2 suppliers15 claims290 services$2.69 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

Otolaryngology
3 RIVERSIDE CIR
ROANOKE, VA 24016
Internal Medicine (Gastroenterology)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Registered Nurse
3 RIVERSIDE CIR
ROANOKE, VA 24016
Podiatrist (Primary Podiatric Medicine)
3 RIVERSIDE CIR
ROANOKE, VA 24016
Orthopaedic Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Orthopaedic Surgery
3 RIVERSIDE CIR
ROANOKE, VA 24016
Podiatrist
3 RIVERSIDE CIR
ROANOKE, VA 24016
Orthopaedic Surgery (Orthopaedic Trauma)
3 RIVERSIDE CIR
ROANOKE, VA 24016

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063733350, enumerated as an "individual" on June 21, 2010.

The provider is located at 3 RIVERSIDE CIR ROANOKE, VA 24016 and the phone number is (540) 526-1251.

Colon & Rectal Surgery with taxonomy code 208C00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to verify.

Terry Nickerson is affiliated with: CARILION MEDICAL CENTER and CARILION FRANKLIN MEMORIAL HOSPITAL.