CODY NIKOLAI M.D.
NPI 1295952539
Surgery in Hershey, PA

Active since April 19, 2007PECOS EnrolledAccepts Medicare Assignment
76.95/100
CMS Quality Rating
500 UNIVERSITY DR, H088, HERSHEY, PA 17033(717) 531-1692 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cody Nikolai M.d. NPPES

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

CODY NIKOLAI M.D. (NPI 1295952539) is an individual surgery provider in Hershey, Pennsylvania, licensed in Pennsylvania (MT186260) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Langlade Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2005).

NPPES Registry Identity

NPI1295952539
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCODY NIKOLAICredential: M.D.
Location Address500 UNIVERSITY DR, H088Hershey, PA 17033-2360
Mailing Address500 University Dr, H088Hershey, PA 17033-2360 · (717) 531-1692
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2005
Enumeration DateApril 19, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1295952539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MT186260
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.
500 UNIVERSITY DR, Hershey, PA 17033

Accepted Insurance

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

Cody Nikolai 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 ID6901052695
PECOS Enrollment IDI20120813000402
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

2

Medicare enrollment records show Cody Nikolai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
Rural Health
375 MAIN ST
Birnamwood, WI 54414
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1639187412 (Wisconsin)
  • 321 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.

Hospital Affiliations CMS Care Compare

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

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost25.22

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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 Cody Nikolai's NPI number?

The NPI number for Cody Nikolai is 1295952539. It was assigned to this individual provider in the NPPES registry on April 19, 2007.

Where is Cody Nikolai located?

Cody Nikolai practices at 500 University Dr H088, Hershey, PA 17033. The listed phone number is (717) 531-1692.

What is Cody Nikolai's specialty?

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

Is Cody Nikolai enrolled in Medicare?

Yes. Cody Nikolai 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 Cody Nikolai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cody Nikolai reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI) and Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin (Birnamwood, WI). 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 Cody Nikolai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cody Nikolai accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and HealthPartners list Cody Nikolai 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 Cody Nikolai affiliated with any hospitals?

According to CMS data, Cody Nikolai is affiliated with Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Cody Nikolai was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.