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EDWARD R NICHOLLS O.D.
NPI 1376981175
Optometrist in American Fork, UT

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
92.06/100
CMS Quality Rating
323 W STATE RD STE A, AMERICAN FORK, UT 84003(801) 763-9898(801) 763-7217 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edward R Nicholls O.d. NPPES

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

EDWARD R NICHOLLS O.D. (NPI 1376981175) is an individual optometrist in American Fork, Utah, licensed in Utah (8746430-9934) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of University Of Houston - College Of Optometry (2013).

NPPES Registry Identity

NPI1376981175
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameEDWARD R NICHOLLSCredential: O.D.
Location Address323 W STATE RD STE AAmerican Fork, UT 84003-5600
Mailing Address323 W State Rd Ste AAmerican Fork, UT 84003-5600 · (801) 763-9898 · Fax (801) 763-7217
Phone(801) 763-9898
Fax(801) 763-7217
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateOctober 20, 2022
NPPES CertifiedOctober 20, 2022
✔ NPI 1376981175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in UT · 8746430-9934
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

323 W STATE RD STE A, American Fork, UT 84003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

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

Edward R Nicholls O.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 ID6901035351
PECOS Enrollment IDI20140204001847
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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
61 services60 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
60 services60 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
49 services49 patients

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84003 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

92.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.57
Promoting Interoperability100
Improvement Activities40

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 Edward Nicholls's NPI number?

The NPI number for Edward Nicholls is 1376981175. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is Edward Nicholls located?

Edward Nicholls practices at 323 W State Rd Ste A, American Fork, UT 84003. The listed phone number is (801) 763-9898.

What is Edward Nicholls's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edward Nicholls enrolled in Medicare?

Yes. Edward Nicholls 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.

What insurance does Edward Nicholls accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Edward Nicholls 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 Edward Nicholls affiliated with any hospitals?

According to CMS data, Edward Nicholls is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Edward Nicholls was last updated on October 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.