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DR. KODY A NICHOLS M.D.
NPI 1255726097
Pediatrics in Fayetteville, AR

Active since March 30, 2015PECOS Enrolled
3380 N FUTRALL DR STE 1, FAYETTEVILLE, AR 72703(479) 442-7322(479) 442-7379 Get Directions Write a Review

NPPES record last updated: March 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 5, 2022, Jun 5, 2019 (2 updates tracked since 2019).

About Dr. Kody A Nichols M.d. NPPES

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

DR. KODY A NICHOLS M.D. (NPI 1255726097) is an individual pediatrics provider in Fayetteville, Arkansas, licensed in Arkansas (E-11455) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fayetteville.

NPPES Registry Identity

NPI1255726097
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. KODY A NICHOLSCredential: M.D.
Location Address3380 N FUTRALL DR STE 1Fayetteville, AR 72703-4815
Mailing AddressPo Box 1523Fayetteville, AR 72702-1523 · (479) 571-6038 · Fax (479) 582-0222
Phone(479) 442-7322
Fax(479) 442-7379
Sole ProprietorNo
Enumeration DateMarch 30, 2015
Last NPPES UpdateMarch 15, 20242 updates tracked since enumeration
NPPES CertifiedMarch 15, 2024
✔ NPI 1255726097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AR · E-11455
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3380 N FUTRALL DR STE 1, Fayetteville, AR 72703
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Secondary Practice Location 1

Location 13383 N Mana Ct Ste 101Fayetteville, AR 72703-4965 · Phone (479) 443-3471

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kody A 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Kody Nichols reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Northwest Arkansas PA
Same address
Gastroenterology
3344 N FUTRALL DR STE B
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 125 clinicians in this Medicare group
NPI 1114482379 (479) 521-8200
University Of Arkansas For Medical Sciences
9.6 mi
Developmental - Behavioral Pediatrics
519 LATHAM DR
Lowell, AR 72745
  • Reassigned Medicare billing, Arkansas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1407021280 (479) 750-0125
Mercy Clinic Fort Smith Communities
53 mi
Multi-Specialty
2901 S 74TH ST
Fort Smith, AR 72903
  • Reassigned Medicare billing, Arkansas enrollment
  • 658 clinicians in this Medicare group
NPI 1902073620 (479) 314-1101
Arkansas Childrens Hospital
145 mi
Pediatrics
1 CHILDRENS WAY # 664
Little Rock, AR 72202
  • Reassigned Medicare billing, Arkansas enrollment
  • 944 clinicians in this Medicare group
NPI 1598773079 (501) 364-2526

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

LAUREEN L. BENAFIELD MD
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322
VIRGINIA LEE THOMAS M.D.
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322
SEAN M. LIVINGSTON MD
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322
CHARLES S. BALL MD
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322
ORRIN J DAVIS MD
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322
GRANT M GAINES MD
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322
WILBY M SIEGLER APRN
Nurse Practitioner (Psychiatric/Mental Health)
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 571-6363
MR. JAMES S. SWINDLE M.D.
Pediatrics
3380 N FUTRALL DR STE 1
FAYETTEVILLE, AR 72703
Washington County (479) 442-7322

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 Kody Nichols's NPI number?

The NPI number for Kody Nichols is 1255726097. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Kody Nichols located?

Kody Nichols practices at 3380 N Futrall Dr Ste 1, Fayetteville, AR 72703. The listed phone number is (479) 442-7322.

What is Kody Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kody Nichols enrolled in Medicare?

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

Which organizations bill Medicare for Kody Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kody Nichols reassigns Medicare benefits to 4 organizations: Medical Associates Of Northwest Arkansas PA (Fayetteville, AR), University Of Arkansas For Medical Sciences (Lowell, AR), Mercy Clinic Fort Smith Communities (Fort Smith, AR) and Arkansas Childrens Hospital (Little Rock, AR). 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 Kody Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kody Nichols accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kody Nichols 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 Kody Nichols was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.