DR. THOMAS H NICHOLS MD
NPI 1346351228
Pediatrics in Rochester, MN

Active since August 31, 2006PECOS Enrolled
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 2, 2023, Dec 15, 2022 (2 updates tracked since 2022).

About Dr. Thomas H Nichols Md NPPES

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

DR. THOMAS H NICHOLS MD (NPI 1346351228) is an individual pediatrics provider in Rochester, Minnesota, licensed in Wisconsin (46605) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Neenah.

NPPES Registry Identity

NPI1346351228
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. THOMAS H NICHOLSCredential: MD
Location Address200 1ST ST SWRochester, MN 55905-0001
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateFebruary 2, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1346351228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 46605✔ Licensed in WI · 46605020
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Location 1

Location 1130 2nd StNeenah, WI 54956-2883 · Phone (920) 969-7900

Other Identifiers 1

Medicaid34628500WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas H Nichols Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Thomas Nichols reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,003 clinicians in this Medicare group
Family Medicine
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
General Acute Care Hospital
500 S OAKWOOD RD
Oshkosh, WI 54904
  • Reassigned Medicare billing, Wisconsin enrollment
  • 194 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Thomas Nichols's NPI number?

The NPI number for Thomas Nichols is 1346351228. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Thomas Nichols located?

Thomas Nichols practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Thomas Nichols's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Thomas Nichols enrolled in Medicare?

Yes. Thomas Nichols is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Nichols reassigns Medicare benefits to 3 organizations: Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Thedacare, Incorporated (New London, WI) and Ascension NE Wisconsin, Inc (Oshkosh, 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 Thomas Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Nichols accept?

Health plans from CareSource (Common Ground Healthcare) list Thomas Nichols 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.

When was this NPI record last updated?

The NPPES record for Thomas Nichols was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.