DR. RICHARD E NICOL MD
NPI 1295791127
Emergency Medicine in Urbana, IL
About Dr. Richard E Nicol Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD E NICOL MD (NPI 1295791127) is an individual emergency medicine provider in Urbana, Illinois, licensed in Missouri (2001004853) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Community Hospital Of Staunton, and is a graduate of Southern Illinois University School Of Medicine (1984).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Richard E Nicol Md 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.
Medicare Billing Reassignments
7Medicare enrollment records show Richard Nicol reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Salem, IL 62881
- Reassigned Medicare billing, Illinois enrollment
- Also billed through NPI 1265467195 (Illinois)
- 35 clinicians in this Medicare group
Staunton, IL 62088
- Reassigned Medicare billing, Illinois enrollment
- 121 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- 69 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: St Marys Hospital Centralia Illinois
- 392 clinicians in this Medicare group
Mount Vernon, IL 62864
- Reassigned Medicare billing, Illinois enrollment
- 81 clinicians in this Medicare group
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 124 clinicians in this Medicare group
Sparta, IL 62286
- Reassigned Medicare billing, Illinois enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Community Hospital Of Staunton
Critical Access Hospitals · Staunton, ILSalem Township Hospital
Critical Access Hospitals · Salem, ILSparta Community Hospital
Critical Access Hospitals · Sparta, ILClay County Hospital
Critical Access Hospitals · Flora, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
URBANA, IL 61801
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 Richard Nicol's NPI number?
The NPI number for Richard Nicol is 1295791127. It was assigned to this individual provider in the NPPES registry on April 20, 2006.
Where is Richard Nicol located?
Richard Nicol practices at 611 W Park St, Urbana, IL 61801. The listed phone number is (217) 383-3319.
What is Richard Nicol's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Richard Nicol enrolled in Medicare?
Yes. Richard Nicol 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.
Which organizations bill Medicare for Richard Nicol's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Nicol reassigns Medicare benefits to 7 organizations: Salem Township Hospital (Salem, IL), Midwest Emergency Anderson Health, Inc (Staunton, IL), Midwest Emergency Centralia Campus Associates, Inc (Centralia, IL), St. Mary's Hospital, Centralia, Illinois (Centralia, IL), Midwest Emergency Good Samaritan, Inc (Mount Vernon, IL) and 2 more organizations, listed in the Medicare section above. 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 Richard Nicol's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Richard Nicol affiliated with any hospitals?
According to CMS data, Richard Nicol is affiliated with Community Hospital Of Staunton, Salem Township Hospital, Sparta Community Hospital and Clay County Hospital.
When was this NPI record last updated?
The NPPES record for Richard Nicol was last updated on April 9, 2008. 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.
# Dr. Richard E Nicol, MD · NPI 1295791127
Emergency Medicine physician in Urbana, Illinois. Individual provider, active in the CMS NPPES registry since April 20, 2006.
## Identity
- **NPI:** 1295791127 (Entity type: Individual)
- **Enumerated:** April 20, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 2001004853 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 W PARK ST, Urbana, IL 61801-2500
- **Phone:** (217) 383-3319
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Salem Township Hospital (NPI 1295739548, Salem, IL); Midwest Emergency Anderson Health, Inc (NPI 1710647615, Staunton, IL); Midwest Emergency Centralia Campus Associates, Inc (NPI 1396034245, Centralia, IL); St. Mary's Hospital, Centralia, Illinois (NPI 1477097871, Centralia, IL); Midwest Emergency Good Samaritan, Inc (NPI 1629367578, Mount Vernon, IL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern Illinois University School Of Medicine, class of 1984
## Record status
- **NPPES last updated:** April 9, 2008
- **Other identifiers:** Medicare UPIN E24632; Medicare UPIN E24632 (IL); Medicare PIN K06159 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1295791127) · Data from the CMS NPPES public registry.