DR. RICHARD E NICOL MD
NPI 1295791127
Emergency Medicine in Urbana, IL

Q: 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.

Q: What is Richard Nicol's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: 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.

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment

95.01/100

CMS Quality Rating

611 W PARK ST, URBANA, IL 61801(217) 383-3319 Get Directions Write a Review

NPPES record last updated: April 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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

NPI1295791127

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. RICHARD E NICOLCredential: MD

Location Address611 W PARK STUrbana, IL 61801-2500

Mailing Address611 W Park StUrbana, IL 61801-2500 · (217) 383-3319

Phone(217) 383-3319

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 1984

Enumeration DateApril 20, 2006

Last NPPES UpdateApril 9, 2008

✔ NPI 1295791127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in MO · 2001004853

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

611 W PARK ST, Urbana, IL 61801

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Other Identifiers 3

Medicare UPINE24632

Medicare UPINE24632IL

Medicare PINK06159IL

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. 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.

PECOS PAC ID2860475472

PECOS Enrollment IDI20040612000196

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 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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

165 services149 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

101 services97 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

49 services47 patients

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, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141306

Location400 N Caldwell StStaunton, IL 62088 · Macoupin County

Emergency services

Salem Township Hospital

Critical Access Hospitals · Salem, IL

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number141345

Location1201 Ricker DriveSalem, IL 62881 · Marion County

Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141349

Location818 E BroadwaySparta, IL 62286 · Randolph County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician 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.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

95.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.02

Promoting Interoperability

100

Improvement Activities

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.

DR. UDAY BHASKAR KANAKADANDI MD

Internal Medicine (Interventional Cardiology)

611 W PARK ST, HVI
URBANA, IL 61801

Champaign County (217) 383-3110

DR. VIKAS DESAI MD

Urology