MR. PHILLIP TODD NICHOLS MD
NPI 1396744652
Otolaryngology in Charleston, WV

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
81.88/100
CMS Quality Rating
500 DONNALLY ST, SUITE 200, CHARLESTON, WV 25301(304) 342-0124(304) 340-2204 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Phillip Todd Nichols Md NPPES

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

MR. PHILLIP TODD NICHOLS MD (NPI 1396744652) is an individual otolaryngology provider in Charleston, West Virginia, licensed in Virginia (0101273372) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and maintains a secondary practice location in South Hill.

NPPES Registry Identity

NPI1396744652
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameMR. PHILLIP TODD NICHOLSCredential: MD
Location Address500 DONNALLY ST, SUITE 200Charleston, WV 25301-1648
Mailing AddressPo Box 1628Charleston, WV 25326-1628 · (304) 342-0124 · Fax (304) 340-2204
Fax(304) 340-2204
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 1994
Enumeration DateJuly 19, 2005
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1396744652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in VA · 0101273372 Licensed in WV · 19053
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Plastic Surgery within the Head & NeckTaxonomy 207YX0007X · License 0101273372 (VA)
500 DONNALLY ST, Charleston, WV 25301

Secondary Practice Location 1

Location 1125 Buena Vista CirSouth Hill, VA 23970-1431 · Phone (434) 584-3151 · Fax (434) 584-5543

Other Identifiers 5

Other040014129WV · Rr Medicare
Other1157768001WV · Cigna
Medicaid0300079000WV
Other7979026WV · Aetna
Other550595497023WV · Bc/bs

Accepted 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

Mr. Phillip Todd Nichols 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 ID9032254115
PECOS Enrollment IDI20211202002040
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 6

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
349 services211 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
306 services194 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
211 services161 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
151 services151 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
29 services26 patients

Hospital Affiliations CMS Care Compare

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

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

81.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.91
Promoting Interoperability100
Improvement Activities40
Cost64.69

Other Providers at the Same Location NPPES 13

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

Durable Medical Equipment & Medical Supplies
500 DONNALLY ST, STE 100
CHARLESTON, WV 25301
Audiologist
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Specialist
500 DONNALLY ST, BLDG B NORTH
CHARLESTON, WV 25301
Audiologist
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Audiologist
500 DONNALLY ST
CHARLESTON, WV 25301
Family Medicine
500 DONNALLY ST, SUITE 203
CHARLESTON, WV 25301
Otolaryngology
500 DONNALLY ST, SUITE 200
CHARLESTON, WV 25301
Eyewear Supplier
500 DONNALLY ST, SUITE 101
CHARLESTON, WV 25301

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 Phillip Nichols's NPI number?

The NPI number for Phillip Nichols is 1396744652. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Phillip Nichols located?

Phillip Nichols practices at 500 Donnally St Suite 200, Charleston, WV 25301. The listed phone number is (304) 342-0124.

What is Phillip Nichols's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Phillip Nichols enrolled in Medicare?

Yes. Phillip Nichols 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 Phillip Nichols accept?

Health plans from CareSource list Phillip 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.

Is Phillip Nichols affiliated with any hospitals?

According to CMS data, Phillip Nichols is affiliated with Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Phillip Nichols was last updated on May 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.