DR. SAMUEL WALKER NICKLES M.D.
NPI 1275854457
Urology in North Charleston, SC

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
2890 TRICOM ST, NORTH CHARLESTON, SC 29406(843) 797-6600(843) 820-1440 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Walker Nickles M.d. NPPES

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

DR. SAMUEL WALKER NICKLES M.D. (NPI 1275854457) is an individual urology provider in North Charleston, South Carolina, licensed in South Carolina (TL32770) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Musc Medical Center, and is a graduate of Medical University Of South Carolina College Of Medicine (2010).

NPPES Registry Identity

NPI1275854457
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. SAMUEL WALKER NICKLESCredential: M.D.
Location Address2890 TRICOM STNorth Charleston, SC 29406-9171
Mailing Address2890 Tricom StNorth Charleston, SC 29406-9171 · (843) 797-6600 · Fax (843) 820-1440
Fax(843) 820-1440
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateSeptember 16, 2015
NPI 1275854457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in SC · TL32770
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedSurgeryTaxonomy 208600000X · License TL32770 (SC)
2890 TRICOM ST, North Charleston, SC 29406

Other Identifiers 1

Medicare PINSC62287026SC

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Samuel Walker Nickles M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294040002
PECOS Enrollment IDI20150821013995
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.

Areas of Expertise CMS Part B claims 27

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
1,346 services697 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.
914 services562 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
744 services467 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
294 services209 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
184 services23 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
176 services176 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Musc Medical Center

Acute Care Hospitals · Charleston, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420004
Location169 Ashley AveCharleston, SC 29425 · Charleston County
Emergency services Birthing friendly

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420030
Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County
Emergency services Birthing friendly

Hampton Regional Medical Center

Acute Care Hospitals · Varnville, SC
OwnershipVoluntary non-profit - Private
CMS Certification Number420072
Location595 West Carolina AvenueVarnville, SC 29944 · Hampton County
Emergency services

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.42
Promoting Interoperability99
Improvement Activities40
Cost69.68

Referred Medical Equipment & Supplies CMS DME claims 2

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers47 claims9,628 services$1.66 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers11 claims45 services$7.90 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 7

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

Physician Assistant
2890 TRICOM ST
NORTH CHARLESTON, SC 29406
Urology
2890 TRICOM ST
NORTH CHARLESTON, SC 29406
Student in an Organized Health Care Education/Training Program
2890 TRICOM ST
NORTH CHARLESTON, SC 29406
Non-Pharmacy Dispensing Site
2890 TRICOM ST
NORTH CHARLESTON, SC 29406
Urology
2890 TRICOM ST
NORTH CHARLESTON, SC 29406
Urology
2890 TRICOM ST
NORTH CHARLESTON, SC 29406
Nurse Practitioner (Family)
2890 TRICOM ST
NORTH CHARLESTON, SC 29406

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 Samuel Nickles's NPI number?

The NPI number for Samuel Nickles is 1275854457. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Samuel Nickles located?

Samuel Nickles practices at 2890 Tricom St, North Charleston, SC 29406. The listed phone number is (843) 797-6600.

What is Samuel Nickles's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Samuel Nickles enrolled in Medicare?

Yes. Samuel Nickles is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel Nickles accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, Molina Healthcare and UnitedHealthcare list Samuel Nickles 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.

Is Samuel Nickles affiliated with any hospitals?

According to CMS data, Samuel Nickles is affiliated with Musc Medical Center, Colleton Medical Center, Hampton Regional Medical Center, Trident Medical Center and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Samuel Nickles was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.