DR. NICHOLAS D DOLL D.M.D.
NPI 1306250147
Dentist in Macomb, IL

Q: What is Nicholas Doll's NPI number?

The NPI number for Nicholas Doll is 1306250147. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Q: What is Nicholas Doll's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Doll was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 June 19, 2014PECOS Enrolled

1400 E CARROLL ST, SUITE B, MACOMB, IL 61455(309) 421-3163 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Nicholas D Doll D.m.d. NPPES

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

DR. NICHOLAS D DOLL D.M.D. (NPI 1306250147) is an individual dentist in Macomb, Illinois, licensed in Illinois (019.029801) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306250147

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. NICHOLAS D DOLLCredential: D.M.D.

Location Address1400 E CARROLL ST, SUITE BMacomb, IL 61455-1801

Mailing Address1400 E Carroll St, Suite BMacomb, IL 61455-1801 · (309) 421-3163

Phone(309) 421-3163

Sole ProprietorNo

Enumeration DateJune 19, 2014

✔ NPI 1306250147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.029801

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1400 E CARROLL ST, Macomb, IL 61455

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas D Doll D.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61455 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES

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

MICHELLE M BOWEN PA-C

Physician Assistant (Medical)

1400 E CARROLL ST, SUITE B
MACOMB, IL 61455

McDonough County (309) 833-2500

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 Nicholas Doll's NPI number?

The NPI number for Nicholas Doll is 1306250147. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Nicholas Doll located?

Nicholas Doll practices at 1400 E Carroll St Suite B, Macomb, IL 61455. The listed phone number is (309) 421-3163.

What is Nicholas Doll's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Nicholas Doll enrolled in Medicare?

Yes. Nicholas Doll is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Doll was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.