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DR. BARNEY MATHEWS NICHOLSON JR. MD
NPI 1205827334
Surgery in Shreveport, LA

Active since October 28, 2005PECOS Enrolled
510 E STONER AVE, SHREVEPORT, LA 71101(318) 990-4989 Get Directions Write a Review

NPPES record last updated: December 7, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Barney Mathews Nicholson Jr. Md NPPES

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

DR. BARNEY MATHEWS NICHOLSON JR. MD (NPI 1205827334) is an individual surgery provider in Shreveport, Louisiana, licensed in California (G 74505) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205827334
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. BARNEY MATHEWS NICHOLSON JR.Credential: MD
Location Address510 E STONER AVEShreveport, LA 71101-4243
Mailing Address10715 Longfellow TrceShreveport, LA 71106-9340 · (601) 559-9770
Phone(318) 990-4989
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateDecember 7, 2022
NPPES CertifiedDecember 7, 2022
✔ NPI 1205827334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G 74505
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.
510 E STONER AVE, Shreveport, LA 71101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Barney Mathews Nicholson Jr. Md 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 71101 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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 20

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

IGNATIUS NNADIOTU
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. DARLENE ROQUE COOK
Pharmacist
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 990-5228
NANCY DUGGAN RN
Registered Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MICHAEL SCHROEDER
Counselor (Professional)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
KARL REICHTER LICSW
Social Worker (Clinical)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (319) 990-4401
SANJAY JAIN
Internal Medicine
510 E STONER AVE, PRIMARY CARE (110)
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
DR. SRINIVAS POTTURI M.D.,
Radiology (Diagnostic Radiology)
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411
MRS. KELLY ANN WALLS LPN
Licensed Practical Nurse
510 E STONER AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 221-8411

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 Barney Nicholson's NPI number?

The NPI number for Barney Nicholson is 1205827334. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Barney Nicholson located?

Barney Nicholson practices at 510 E Stoner Ave, Shreveport, LA 71101. The listed phone number is (318) 990-4989.

What is Barney Nicholson's specialty?

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

Is Barney Nicholson enrolled in Medicare?

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

What insurance does Barney Nicholson accept?

Health plans from HMO Louisiana list Barney Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Barney Nicholson was last updated on December 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.