MATTHEW NICHOLS MD
NPI 1447819966
Ophthalmology in Fort Campbell, KY

Q: What is Matthew Nichols's NPI number?

The NPI number for Matthew Nichols is 1447819966. It was assigned to this individual provider in the NPPES registry on June 8, 2019.

Q: What is Matthew Nichols's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Nichols was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 08, 2019PECOS Enrolled

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 401-5555 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Jun 27, 2025, Aug 10, 2023 and 3 more (6 updates tracked since 2019).

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About Matthew Nichols Md NPPES

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

MATTHEW NICHOLS MD (NPI 1447819966) is an individual ophthalmology provider in Fort Campbell, Kentucky, licensed in Virginia (0101276534) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabethtown, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447819966

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMATTHEW NICHOLSCredential: MD

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address650 Joel DrFort Campbell, KY 42223-5318 · (270) 401-5555

Phone(270) 401-5555

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 8, 2019

Last NPPES UpdateAugust 6, 20256 updates tracked since enumeration

NPPES CertifiedAugust 6, 2025

✔ NPI 1447819966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101276534

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedSurgeryTaxonomy 208600000X · License 0101276534 (VA)

Also ListedGeneral PracticeTaxonomy 208D00000X · License 0101276534 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

650 JOEL DR, Fort Campbell, KY 42223

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Secondary Practice Location 1

Location 1216 Central AveElizabethtown, KY 42701-1477 · Phone (270) 401-5555

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Nichols Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385119460

PECOS Enrollment IDI20260407000499

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 42223 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 20

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

LISA RENEE CORDELL RN

Registered Nurse