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KEITH ANDREW NICHOLS M.D.
NPI 1124098785
Family Medicine in Owego, NY

Active since January 25, 2006PECOS Enrolled
130 TEMPLE ST, SUITE 100, OWEGO, NY 13827(607) 687-5616(607) 687-5989 Get Directions Write a Review

NPPES record last updated: October 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Andrew Nichols M.d. NPPES

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

KEITH ANDREW NICHOLS M.D. (NPI 1124098785) is an individual family medicine provider in Owego, New York, licensed in New York (141416) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124098785
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEITH ANDREW NICHOLSCredential: M.D.
Location Address130 TEMPLE ST, SUITE 100Owego, NY 13827-1421
Mailing Address130 Temple St, Suite 100Owego, NY 13827-1421 · (607) 687-5616 · Fax (607) 687-5989
Phone(607) 687-5616
Fax(607) 687-5989
Sole ProprietorYes
Enumeration DateJanuary 25, 2006
Last NPPES UpdateOctober 8, 2007
✔ NPI 1124098785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 141416
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
130 TEMPLE ST, Owego, NY 13827
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Other Identifiers 3

Medicare UPINB82245NY
Medicare PINRA8789NY
Medicare PINBA0719NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Andrew Nichols 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13827 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
96%79 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%914 patients4/55-star benchmark: 99%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
14%339 patients1/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
98%113 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%124 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
84%339 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
97%30 patients4/55-star benchmark: 98%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
44%339 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
60%339 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers14 claims52 services$6.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier14 claims14 services$82.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier17 claims40 services$33.15 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
1 supplier15 claims15 services$14.56 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
1 supplier20 claims88 services$2.22 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier18 claims19 services$13.24 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 3

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

BARRY S SCHECTER LCSW
Social Worker (Clinical)
130 TEMPLE ST, SUITE 100
OWEGO, NY 13827
Tioga County (607) 687-5616
KEITH A NICHOLS MD, PLLC
Family Medicine
130 TEMPLE ST, SUITE 100
OWEGO, NY 13827
Tioga County (607) 687-5616
MS. ELIZABETH GERTRUDE SALON NP
Nurse Practitioner (Family)
130 TEMPLE ST, SUITE 100
OWEGO, NY 13827
Tioga County (607) 687-5616

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 Keith Nichols's NPI number?

The NPI number for Keith Nichols is 1124098785. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Keith Nichols located?

Keith Nichols practices at 130 Temple St Suite 100, Owego, NY 13827. The listed phone number is (607) 687-5616.

What is Keith Nichols's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Keith Nichols enrolled in Medicare?

Yes. Keith Nichols is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Nichols was last updated on October 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.