MATTHEW NICHOLS MD
NPI 1447819966
Ophthalmology in Fort Campbell, KY
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
Specialties & Licenses 4
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Matthew Nichols Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Matthew Nichols reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carmel, IN 46280
- Reassigned Medicare billing, Kentucky enrollment
- 2 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 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.
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.
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
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 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.
Where is Matthew Nichols located?
Matthew Nichols practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 401-5555.
What is Matthew Nichols's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Matthew Nichols enrolled in Medicare?
Yes. Matthew Nichols is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Matthew Nichols's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Nichols reassigns Medicare benefits to Greenberg Holdings LLC (Carmel, IN). 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 Matthew Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 14 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.
# Matthew Nichols, MD · NPI 1447819966
Ophthalmology physician in Fort Campbell, Kentucky. Individual provider, active in the CMS NPPES registry since June 8, 2019.
## Identity
- **NPI:** 1447819966 (Entity type: Individual)
- **Enumerated:** June 8, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 0101276534 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 JOEL DR, Fort Campbell, KY 42223-5318
- **Phone:** (270) 401-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Greenberg Holdings LLC (NPI 1104622505, Carmel, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1447819966) · Data from the CMS NPPES public registry.