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RANDALL WAYNE NICHOLS M.D.
NPI 1518055334
Surgery in Dothan, AL

Active since October 10, 2006PECOS Enrolled
19.52/100
CMS Quality Rating
2431 W MAIN ST, SUITE 1001, DOTHAN, AL 36301(334) 677-6220(334) 677-2206 Get Directions Write a Review

NPPES record last updated: May 8, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Randall Wayne Nichols M.d. NPPES

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

RANDALL WAYNE NICHOLS M.D. (NPI 1518055334) is an individual surgery provider in Dothan, Alabama, licensed in Alabama (9258) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518055334
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRANDALL WAYNE NICHOLSCredential: M.D.
Location Address2431 W MAIN ST, SUITE 1001Dothan, AL 36301-1217
Mailing AddressPo Box 6188Dothan, AL 36302-6188 · (334) 677-6220 · Fax (334) 677-2206
Phone(334) 677-6220
Fax(334) 677-2206
Sole ProprietorYes
Enumeration DateOctober 10, 2006
Last NPPES UpdateMay 8, 2017
✔ NPI 1518055334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AL · 9258
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2431 W MAIN ST, Dothan, AL 36301
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Other Identifiers 5

Medicaid00296557CGA
Medicaid529906170AL
Other51083586AL · Blue Cross Blue Shield
Medicare UPINC70916AL
Medicaid069046500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Randall Wayne Nichols M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10

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.

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.
288 services288 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.
159 services135 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
48 services44 patients
Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
46 services44 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
20 services20 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36301 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

19.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost65.07

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$17.64 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$91.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SOUTHEASTERN CARDIOVASCULAR ASSOCIATES PC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2431 W MAIN ST, SUITE 1001
DOTHAN, AL 36301
Houston County (334) 794-2825
MRS. TERRY DENISE BRADLEY MS, LPC
Counselor (Professional)
2431 W MAIN ST, SUITE 603
DOTHAN, AL 36301
Houston County (334) 673-8869
L. TERRY PYNES
Specialist
2431 W MAIN ST, STE 501
DOTHAN, AL 36301
Houston County (334) 793-9222
L TERRY PYNES MD
Specialist
2431 W MAIN ST, STE 501
DOTHAN, AL 36301
Houston County (334) 793-9222
STEVEN F JOHNSON M. D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2431 W MAIN ST, STE 1001
DOTHAN, AL 36301
Houston County (334) 794-2825
DERMATOLOGY ASSOCIATES OF DOTHAN, LLC
Dermatology
2431 W MAIN ST, STE 501
DOTHAN, AL 36301
Houston County (334) 793-9222
DR. MICHAEL SCOTT HELMS D.M.D.
Dentist (General Practice)
2431 W MAIN ST, STE. 601
DOTHAN, AL 36301
Houston County (334) 793-3651
PATRICK S NELSON PA-C
Physician Assistant
2431 W MAIN ST, 501
DOTHAN, AL 36301
Houston County (334) 793-9222

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 Randall Nichols's NPI number?

The NPI number for Randall Nichols is 1518055334. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Randall Nichols located?

Randall Nichols practices at 2431 W Main St Suite 1001, Dothan, AL 36301. The listed phone number is (334) 677-6220.

What is Randall Nichols's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Randall Nichols enrolled in Medicare?

Yes. Randall Nichols is registered in the Medicare PECOS enrollment system.

What insurance does Randall Nichols accept?

Health plans from UnitedHealthcare list Randall 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.

When was this NPI record last updated?

The NPPES record for Randall Nichols was last updated on May 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.