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DR. DAWN W NICHOLS MD
NPI 1831159912
Pathology - Anatomic Pathology & Clinical Pathology in Knoxville, TN

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
95/100
CMS Quality Rating
939 E EMERALD AVE, SUITE 705, KNOXVILLE, TN 37917(865) 524-2547(865) 524-0224 Get Directions Write a Review

NPPES record last updated: April 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dawn W Nichols Md NPPES

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

DR. DAWN W NICHOLS MD (NPI 1831159912) is an individual anatomic pathology & clinical pathology provider in Knoxville, Tennessee, licensed in Tennessee (MD0000037081) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of East Tennessee State University Quillen College Of Medicine (1995).

NPPES Registry Identity

NPI1831159912
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. DAWN W NICHOLSCredential: MD
Location Address939 E EMERALD AVE, SUITE 705Knoxville, TN 37917-4540
Mailing Address939 E Emerald Ave, Suite 705Knoxville, TN 37917-4540 · (865) 524-2547 · Fax (865) 524-0224
Phone(865) 524-2547
Fax(865) 524-0224
Sole ProprietorNo
Medical School CMSEast Tennessee State University Quillen College Of MedicineGraduated 1995
Enumeration DateMarch 24, 2006
Last NPPES UpdateApril 20, 2010
✔ NPI 1831159912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in TN · MD0000037081
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
939 E EMERALD AVE, Knoxville, TN 37917
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Other Identifiers 5

Medicaid6407204400KY
Medicare UPINH02426
Medicare PIN38882711TN
Medicaid38882711TN
Medicare PINP00470474

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Dr. Dawn W Nichols 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 ID9830096841
PECOS Enrollment IDI20031217000883
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 5

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
1,419 services914 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
137 services53 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
133 services91 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
68 services60 patients
Pathology examination of tissue using a microscope, moderately low complexity 88304
A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
59 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37917 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

THOMAS R TRAYLOR MD
Obstetrics & Gynecology
939 E EMERALD AVE, STE 901
KNOXVILLE, TN 37917
Knox County (865) 546-9623
THOMAS C WHITTAKER DDS
Oral & Maxillofacial Surgery
939 E EMERALD AVE, STE 501
KNOXVILLE, TN 37917
Knox County (865) 522-6885
DAVID G SANDBERG DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655
DERMATOLOGY ASSOCIATES OF KNOXVILLE, PC
Dermatology
939 E EMERALD AVE, SUITE 705
KNOXVILLE, TN 37917
Knox County (865) 524-2547
ROBERT CHRISTOPHER HANCOCK DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655
HEATHER W SANDBERG DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655
KIMBERLY SUE BOLTON PHD, WHCNP
Religious Nonmedical Nursing Personnel
939 E EMERALD AVE, SUITE 801
KNOXVILLE, TN 37917
Knox County (865) 546-6721
JAMES CLIFFORD GILLEY DPM
Podiatrist
939 E EMERALD AVE, SUITE 706
KNOXVILLE, TN 37917
Knox County (865) 523-5655

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 Dawn Nichols's NPI number?

The NPI number for Dawn Nichols is 1831159912. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Dawn Nichols located?

Dawn Nichols practices at 939 E Emerald Ave Suite 705, Knoxville, TN 37917. The listed phone number is (865) 524-2547.

What is Dawn Nichols's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Dawn Nichols enrolled in Medicare?

Yes. Dawn 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.

What insurance does Dawn Nichols accept?

Health plans from Alliant Health Plans, Inc. list Dawn 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 Dawn Nichols was last updated on April 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.