PHILIP DUNBAR NICOL MD
NPI 1700887197
Internal Medicine - Cardiovascular Disease in Butler, PA

Q: What is Philip Nicol's NPI number?

The NPI number for Philip Nicol is 1700887197. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Q: What is Philip Nicol's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Philip Nicol was last updated on August 13, 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.

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment

127 ONEIDA VALLEY RD, SUITE 400, BUTLER, PA 16001(866) 620-6761(724) 282-3043 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2020, Feb 21, 2020 (2 updates tracked since 2020).

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About Philip Dunbar Nicol Md NPPES

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

PHILIP DUNBAR NICOL MD (NPI 1700887197) is an individual cardiovascular disease provider in Butler, Pennsylvania, licensed in Pennsylvania (MD049708L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1700887197

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NamePHILIP DUNBAR NICOLCredential: MD

Location Address127 ONEIDA VALLEY RD, SUITE 400Butler, PA 16001-2239

Mailing Address127 Oneida Valley Rd, Suite 400Butler, PA 16001-2239 · (866) 620-6761 · Fax (724) 282-3043

Phone(866) 620-6761

Fax(724) 282-3043

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateAugust 9, 2005

Last NPPES UpdateAugust 13, 20202 updates tracked since enumeration

NPPES CertifiedAugust 13, 2020

✔ NPI 1700887197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in PA · MD049708L

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD049708L (PA)

127 ONEIDA VALLEY RD, Butler, PA 16001

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Other Identifiers 2

Medicaid2589140OH

Medicaid0014235940013PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Philip Dunbar Nicol Md 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 ID9032156930

PECOS Enrollment IDI20050412001179

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

304 services267 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

112 services111 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.

112 services69 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

94 services92 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

49 services45 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

49 services48 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

41 services41 patients

Ultrasound of heart with probe in esophagus, with report 93312

This procedure, called a transesophageal echocardiogram, uses a small probe passed into your esophagus to capture detailed images of your heart. The report provides information about your heart's structure and function.

35 services34 patients

Ultrasound of heart blood flow, valves and chambers 93320

An ultrasound of your heart, also known as an echocardiogram, is a test that uses sound waves to create detailed images of your heart. It helps doctors check the health of your heart's chambers, valves, and blood flow.

35 services34 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

35 services15 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

34 services34 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

31 services31 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

31 services31 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

30 services18 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

29 services29 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

28 services28 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

28 services28 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

26 services26 patients

Ultrasound of both sides of head and neck blood flow 93880

26 services26 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

14 services14 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390093

LocationOne Hospital DriveClarion, PA 16214 · Clarion County

Emergency services

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390168

LocationOne Hospital WayButler, PA 16001 · Butler County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

Referred Medical Equipment & Supplies CMS DME claims

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

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

2 suppliers13 claims13 services$66.58 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 18

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

MICHAEL A GATES PA-C

Physician Assistant (Medical)

127 ONEIDA VALLEY RD, SUITE 202
BUTLER, PA 16001

Butler County (866) 620-6761

KIMBERLY SUNDIE PA-C

Physician Assistant (Medical)

127 ONEIDA VALLEY RD, SUITE 400
BUTLER, PA 16001

Butler County (724) 284-5670

DR. SUNDER R RAO MD

Internal Medicine (Cardiovascular Disease)

127 ONEIDA VALLEY RD, SUITE 400
BUTLER, PA 16001

Butler County (866) 620-6761

SANJAY BALWANT DIXIT MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

127 ONEIDA VALLEY RD, SUITE 101
BUTLER, PA 16001

Butler County (724) 968-5355

MRS. LINDSAY R STEWART PA-C

Physician Assistant

127 ONEIDA VALLEY RD, SUITE 101
BUTLER, PA 16001

Butler County (724) 968-5355

RENA MARISSA ISRAEL PA-C

Physician Assistant (Surgical)

127 ONEIDA VALLEY RD
BUTLER, PA 16001

Butler County (877) 247-2717

REKHA PINTO MD

Internal Medicine (Cardiovascular Disease)

127 ONEIDA VALLEY RD, SUITE 202
BUTLER, PA 16001

Butler County (866) 620-6761

MRS. EMILY RACHAEL MARTIN MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

127 ONEIDA VALLEY RD, SUITE 101
BUTLER, PA 16001

Butler County (724) 968-5355

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 Philip Nicol's NPI number?

The NPI number for Philip Nicol is 1700887197. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Philip Nicol located?

Philip Nicol practices at 127 Oneida Valley Rd Suite 400, Butler, PA 16001. The listed phone number is (866) 620-6761.

What is Philip Nicol's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Philip Nicol enrolled in Medicare?

Yes. Philip Nicol 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 Philip Nicol accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Philip Nicol 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 Philip Nicol affiliated with any hospitals?

According to CMS data, Philip Nicol is affiliated with Clarion Hospital and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Philip Nicol was last updated on August 13, 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.