DOUGLAS KELLEY NICHOLSON DO
NPI 1649273582
Internal Medicine - Nephrology in Rock Hill, SC

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
76.91/100
CMS Quality Rating
1436 RIVERCHASE BLVD, ROCK HILL, SC 29732(803) 329-2636(803) 329-2184 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, May 18, 2023 (2 updates tracked since 2023).

About Douglas Kelley Nicholson Do NPPES

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

DOUGLAS KELLEY NICHOLSON DO (NPI 1649273582) is an individual nephrology provider in Rock Hill, South Carolina, licensed in South Carolina (0717) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1649273582
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDOUGLAS KELLEY NICHOLSONCredential: DO
Location Address1436 RIVERCHASE BLVDRock Hill, SC 29732-1777
Mailing Address1436 Riverchase BlvdRock Hill, SC 29732-1777 · (803) 329-2636 · Fax (803) 329-2184
Fax(803) 329-2184
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 24, 2005
Last NPPES UpdateFebruary 5, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1649273582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in SC · 0717
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1436 RIVERCHASE BLVD, Rock Hill, SC 29732

Secondary Practice Location 1

Location 1322 S Main StLancaster, SC 29720-2437 · Phone (803) 286-8446

Other Identifiers 1

MedicaidT00380SC

Accepted Insurance

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

Douglas Kelley Nicholson Do 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 ID9234239393
PECOS Enrollment IDI20100503000666, I20120604000012
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 21

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,015 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
242 services177 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
147 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
103 services68 patients
Injection, midazolam hydrochloride, per 1 mg J2250
Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
83 services48 patients
Injection, fentanyl citrate, 0.1 mg J3010
Fentanyl citrate is a potent pain medication administered via injection. The 0.1 mg dosage is used to manage severe pain conditions. It works by blocking pain signals to the brain. It's crucial to follow the dosage instructions to prevent potential side effects.
78 services54 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number420002
Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County
Emergency services Birthing friendly

Musc Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420036
Location800 W Meeting StLancaster, SC 29720 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
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.

76.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality50.67
Improvement Activities40
Cost72.15

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers40 claims4,350 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims2,220 services$0.19 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers37 claims37 services$18.40 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers33 claims35 services$12.61 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 16

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

Physician Assistant
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732
Internal Medicine (Nephrology)
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732
Internal Medicine (Nephrology)
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732
Nurse Practitioner (Acute Care)
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732
Internal Medicine (Nephrology)
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732
Internal Medicine (Nephrology)
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732
Nurse Practitioner (Family)
1436 RIVERCHASE BLVD, NEPHROLOGY ASSOCIATES PA
ROCK HILL, SC 29732
Nurse Practitioner
1436 RIVERCHASE BLVD
ROCK HILL, SC 29732

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 Douglas Nicholson's NPI number?

The NPI number for Douglas Nicholson is 1649273582. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Douglas Nicholson located?

Douglas Nicholson practices at 1436 Riverchase Blvd, Rock Hill, SC 29732. The listed phone number is (803) 329-2636.

What is Douglas Nicholson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Douglas Nicholson enrolled in Medicare?

Yes. Douglas Nicholson 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.

What insurance does Douglas Nicholson accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and InStil Health and 2 other insurers list Douglas Nicholson 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 Douglas Nicholson affiliated with any hospitals?

According to CMS data, Douglas Nicholson is affiliated with Piedmont Medical Center and Musc Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Nicholson was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.