DR. BRIAN NICHOLS M.D. PH.D.
NPI 1699727172
Ophthalmology in Boulder, CO

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
4745 ARAPAHOE AVE, STE 100, BOULDER, CO 80303(303) 444-3000 Get Directions Write a Review

NPPES record last updated: April 26, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Brian Nichols M.d. Ph.d. NPPES

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

DR. BRIAN NICHOLS M.D. PH.D. (NPI 1699727172) is an individual ophthalmology provider in Boulder, Colorado, licensed in Colorado (38111) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1995).

NPPES Registry Identity

NPI1699727172
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BRIAN NICHOLSCredential: M.D. PH.D.
Location Address4745 ARAPAHOE AVE, STE 100Boulder, CO 80303-1080
Mailing Address4745 Arapahoe Ave, Ste 100Boulder, CO 80303-1080 · (303) 444-3000
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1995
Enumeration DateMay 16, 2006
Last NPPES UpdateApril 26, 2020
NPPES CertifiedApril 26, 2020
✔ NPI 1699727172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CO · 38111
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 ListedOphthalmology · Pediatric Ophthalmology and Strabismus SpecialistTaxonomy 207WX0110X · License 38111 (CO)
4745 ARAPAHOE AVE, Boulder, CO 80303

Other Identifiers 1

Medicaid04020145CO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Nichols M.d. Ph.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 ID1456319169
PECOS Enrollment IDI20041228000854
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
4745 ARAPAHOE AVE, SUITE 100
Boulder, CO 80303
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Donald J Keller MD PC
  • 10 clinicians in this Medicare group
Ophthalmology
1725 E PROSPECT RD
Fort Collins, CO 80525
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Eye Center Of Northern Colorado PC
  • 78 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.

Areas of Expertise CMS Part B claims 13

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
365 services345 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
263 services253 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
192 services108 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.
146 services96 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
130 services126 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
116 services116 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80303 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
97%90 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%331 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
45%806 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
77%2,445 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
100%83 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
78%2,445 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,445 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
96%290 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Ophthalmology (Retina Specialist)
4745 ARAPAHOE AVE
BOULDER, CO 80303
Pediatrics
4745 ARAPAHOE AVE, SUITE 310
BOULDER, CO 80303
Otolaryngology
4745 ARAPAHOE AVE, STE 130
BOULDER, CO 80303
Otolaryngology
4745 ARAPAHOE AVE, STE 130
BOULDER, CO 80303
Otolaryngology
4745 ARAPAHOE AVE, SUITE 130
BOULDER, CO 80303
Audiologist-Hearing Aid Fitter
4745 ARAPAHOE AVE, SUITE 130 BOULDER VALLEY EAR, NOSE, & THROAT
BOULDER, CO 80303
Pharmacist
4745 ARAPAHOE AVE, SUITE 120
BOULDER, CO 80303
Ophthalmology
4745 ARAPAHOE AVE, SUITE 100
BOULDER, CO 80303

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 Brian Nichols's NPI number?

The NPI number for Brian Nichols is 1699727172. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Brian Nichols located?

Brian Nichols practices at 4745 Arapahoe Ave Ste 100, Boulder, CO 80303. The listed phone number is (303) 444-3000.

What is Brian Nichols's specialty?

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

Is Brian Nichols enrolled in Medicare?

Yes. Brian Nichols 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.

Which organizations bill Medicare for Brian Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Nichols reassigns Medicare benefits to 2 organizations: Eye Center Of Northern Colorado, P.C (Boulder, CO) and Eye Center Of Northern Colorado, P.C. (Fort Collins, CO). Each 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 Brian Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Nichols accept?

Health plans from Select Health list Brian 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 Brian Nichols was last updated on April 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.