MATTHEW R NICHOLSON DC
NPI 1720319817
Chiropractor in O Fallon, MO
About Matthew R Nicholson Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW R NICHOLSON DC (NPI 1720319817) is an individual chiropractor in O Fallon, Missouri, licensed in Missouri (2010001122) and active in the NPI registry since January 2010. He is a graduate of Logan College Of Chiropractic (2009).
NPPES Registry Identity
Specialties & Licenses
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
Matthew R Nicholson Dc 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.
Medicare Billing Reassignment
Medicare enrollment records show Matthew Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
O Fallon, MO 63368
- Reassigned Medicare billing, Missouri enrollment
- 9 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
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Matthew Nicholson's NPI number?
The NPI number for Matthew Nicholson is 1720319817. It was assigned to this individual provider in the NPPES registry on January 29, 2010.
Where is Matthew Nicholson located?
Matthew Nicholson practices at 2534 Highway K, O Fallon, MO 63368. The listed phone number is (636) 978-5511.
What is Matthew Nicholson's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Matthew Nicholson enrolled in Medicare?
Yes. Matthew 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.
Which organization bills Medicare for Matthew Nicholson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Nicholson reassigns Medicare benefits to Back Pain Center LLC (O Fallon, MO). The 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 Matthew Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Nicholson accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 5 other insurers list Matthew 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.
When was this NPI record last updated?
The NPPES record for Matthew Nicholson was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Matthew R Nicholson, DC · NPI 1720319817
Chiropractor provider in O Fallon, Missouri. Individual provider, active in the CMS NPPES registry since January 29, 2010.
## Identity
- **NPI:** 1720319817 (Entity type: Individual)
- **Enumerated:** January 29, 2010
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 2010001122 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2534 HIGHWAY K, O Fallon, MO 63368-6625
- **Phone:** (636) 978-5511 · **Fax:** (636) 281-5511
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Back Pain Center LLC (NPI 1538384763, O Fallon, MO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Logan College Of Chiropractic, class of 2009
## Record status
- **NPPES last updated:** January 27, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1720319817) · Data from the CMS NPPES public registry.