MARK DAVID NICOLAS
NPI 1447645221
Surgery - Trauma Surgery in Springfield, MO
About Mark David Nicolas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK DAVID NICOLAS (NPI 1447645221) is an individual trauma surgery provider in Springfield, Missouri, licensed in Missouri (2021027694) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and is a graduate of Cincinnati College Of Medicine And Surgery (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mark David Nicolas 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.
Medicare Billing Reassignment
Medicare enrollment records show Mark Nicolas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, MO 65807
- Reassigned Medicare billing, Missouri enrollment
- Also billed through NPI 1467667980 (Missouri)
- 28 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.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cox Medical Centers
Acute Care Hospitals · Springfield, MOMedicare 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
SPRINGFIELD, MO 65807
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 Mark Nicolas's NPI number?
The NPI number for Mark Nicolas is 1447645221. It was assigned to this individual provider in the NPPES registry on March 30, 2015.
Where is Mark Nicolas located?
Mark Nicolas practices at 3800 S National Ave Ste 605, Springfield, MO 65807. The listed phone number is (417) 875-3000.
What is Mark Nicolas's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.
Is Mark Nicolas enrolled in Medicare?
Yes. Mark Nicolas 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 organization bills Medicare for Mark Nicolas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Nicolas reassigns Medicare benefits to Lester E Cox Medical Centers (Springfield, MO). The 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 Mark Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mark Nicolas accept?
Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Mark Nicolas 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 Mark Nicolas affiliated with any hospitals?
According to CMS data, Mark Nicolas is affiliated with Cox Medical Centers.
When was this NPI record last updated?
The NPPES record for Mark Nicolas was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.