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DR. ANNE M NICKODEM M.D.
NPI 1487826491
Plastic Surgery in Vienna, VA

Active since March 31, 2008PECOS EnrolledAccepts Medicare Assignment
8229 BOONE BLVD STE 365, VIENNA, VA 22182(703) 560-8711(703) 552-2015 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Sep 8, 2023 (2 updates tracked since 2023).

About Dr. Anne M Nickodem M.d. NPPES

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

DR. ANNE M NICKODEM M.D. (NPI 1487826491) is an individual plastic surgery provider in Vienna, Virginia, licensed in West Virginia (0101047333) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Georgetown University School Of Medicine (1984).

NPPES Registry Identity

NPI1487826491
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. ANNE M NICKODEMCredential: M.D.
Location Address8229 BOONE BLVD STE 365Vienna, VA 22182-2623
Mailing Address8229 Boone Blvd Ste 365Vienna, VA 22182-2623 · (703) 560-8711 · Fax (703) 552-2015
Phone(703) 560-8711
Fax(703) 552-2015
Sole ProprietorYes
Medical School CMSGeorgetown University School Of MedicineGraduated 1984
Enumeration DateMarch 31, 2008
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1487826491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in WV · 0101047333
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
8229 BOONE BLVD STE 365, Vienna, VA 22182
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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

Dr. Anne M Nickodem M.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 ID3476789645
PECOS Enrollment IDI20200128001131
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.

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22182 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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

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

ANNE M. NICKODEM, MD PC
Plastic Surgery
8229 BOONE BLVD STE 365
VIENNA, VA 22182
Fairfax County (703) 560-8711

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 Anne Nickodem's NPI number?

The NPI number for Anne Nickodem is 1487826491. It was assigned to this individual provider in the NPPES registry on March 31, 2008.

Where is Anne Nickodem located?

Anne Nickodem practices at 8229 Boone Blvd Ste 365, Vienna, VA 22182. The listed phone number is (703) 560-8711.

What is Anne Nickodem's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Anne Nickodem enrolled in Medicare?

Yes. Anne Nickodem 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.

Is Anne Nickodem affiliated with any hospitals?

According to CMS data, Anne Nickodem is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Anne Nickodem was last updated on July 30, 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.