1. Home
  2. Directory
  3. Minnesota
  4. Edina
  5. Surgery
  6. NPI Profile

CHARLES P. NICHOLSON M.D.
NPI 1114958097
Surgery - Vascular Surgery in Edina, MN

Active since July 06, 2006PECOS Enrolled
81.72/100
CMS Quality Rating
6405 FRANCE AVE S, SUITE W440, EDINA, MN 55435(952) 927-7004(952) 927-5146 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles P. Nicholson M.d. NPPES

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

CHARLES P. NICHOLSON M.D. (NPI 1114958097) is an individual vascular surgery provider in Edina, Minnesota, licensed in Minnesota (31132) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114958097
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameCHARLES P. NICHOLSONCredential: M.D.
Location Address6405 FRANCE AVE S, SUITE W440Edina, MN 55435-2163
Mailing Address6405 France Ave S, #w440Edina, MN 55435-2163 · (952) 927-7004 · Fax (952) 924-5146
Phone(952) 927-7004
Fax(952) 927-5146
Sole ProprietorNo
Enumeration DateJuly 6, 2006
Last NPPES UpdateMarch 8, 2017
✔ NPI 1114958097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MN · 31132
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 31132 (MN)
6405 FRANCE AVE S, Edina, MN 55435
Open in Google Maps ↗

Other Names 1

Other Name (5)C. Phifer Nicholson M.d.

Other Identifiers 3

Other770000441MN · Railroad Medicare
Medicare UPINE63804MN
Medicaid335792900MN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles P. Nicholson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Charles Nicholson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Fairview Express Care
Same address
Surgery
6405 FRANCE AVE S, SUITE W440
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1235395864 (952) 927-7004
Fairview Health Services
0.1 mi
General Acute Care Hospital
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
NPI 1699752915 (952) 924-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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

Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
77 services55 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
56 services54 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.
56 services47 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Injection of chemical agent into multiple incompetent veins of leg 36471
This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.
24 services16 patients
Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475
This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.
24 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

ALYSSA HAYNES
Registered Nurse
6405 FRANCE AVE S
EDINA, MN 55435
Hennepin County (952) 920-2730
JENNIFER B GALANG NP
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Hennepin County (952) 924-9005
SUZANNE GAYLE WEINBERGER RN, CNP
Nurse Practitioner (Women's Health)
6405 FRANCE AVE S, SUITE W400
EDINA, MN 55435
Hennepin County (952) 920-2730
PAUL L. BENN M.D.
Surgery
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Hennepin County (952) 927-7004
GREGORY HELMER M.D.
Internal Medicine (Interventional Cardiology)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Hennepin County (952) 924-9005
MINNESOTA VASCULAR CLINIC, PLLC
Surgery (Vascular Surgery)
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Hennepin County (952) 927-7004
SHARI MADSON NP
Nurse Practitioner (Adult Health)
6405 FRANCE AVE S, SUITE W200
EDINA, MN 55435
Hennepin County (952) 924-9005
GEORGE J. NEMANICH M.D.
Surgery
6405 FRANCE AVE S, SUITE W440
EDINA, MN 55435
Hennepin County (952) 927-7004

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 Charles Nicholson's NPI number?

The NPI number for Charles Nicholson is 1114958097. It was assigned to this individual provider in the NPPES registry on July 6, 2006. The provider is also known as C. Phifer Nicholson M.D..

Where is Charles Nicholson located?

Charles Nicholson practices at 6405 France Ave S Suite W440, Edina, MN 55435. The listed phone number is (952) 927-7004.

What is Charles Nicholson's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Charles Nicholson enrolled in Medicare?

Yes. Charles Nicholson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Nicholson reassigns Medicare benefits to 2 organizations: Fairview Express Care (Edina, MN) and Fairview Health Services (Edina, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charles Nicholson was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.