BRIAN SCOTT NICOL DDS
NPI 1194830711
Dentist - General Practice in Tomah, WI

Active since August 21, 2006Opted out of Medicare · through Oct 1, 2027
214 LARKIN ST, TOMAH, WI 54660(608) 372-3298(608) 372-3128 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brian Scott Nicol Dds NPPES

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

BRIAN SCOTT NICOL DDS (NPI 1194830711) is an individual general practice provider in Tomah, Wisconsin, licensed in Wisconsin (5001183) and active in the NPI registry since August 2006. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1194830711
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRIAN SCOTT NICOLCredential: DDS
Location Address214 LARKIN STTomah, WI 54660-0606
Mailing AddressPo Box 606, 214 Larkin StTomah, WI 54660-0606 · (608) 372-3298 · Fax (608) 372-3128
Fax(608) 372-3128
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateDecember 6, 2021
NPPES CertifiedDecember 6, 2021
NPI 1194830711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 5001183
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

214 LARKIN ST, Tomah, WI 54660

Other Names 1

Professional Name (2)B Scott Nicol Dds

Other Identifiers 1

Medicaid33563100WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Brian Scott Nicol Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2013 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2013
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 54660 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.92
  • Minimum New Patient Price $53.9
  • Maximum New Patient Price $163.24
  • Average New Patient Copayment $20.73
  • Minimum New Patient Copayment $13.47
  • Maximum New Patient Copayment $40.81

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.37
  • Minimum Established Patient Price $17.4
  • Maximum Established Patient Price $133.76
  • Average Established Patient Copayment $16.84
  • Minimum Established Patient Copayment $4.35
  • Maximum Established Patient Copayment $33.44

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660
Dentist (General Practice)
214 LARKIN ST
TOMAH, WI 54660

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194830711, enumerated as an "individual" on August 21, 2006.

The provider is located at 214 LARKIN ST TOMAH, WI 54660 and the phone number is (608) 372-3298.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.