DR. NICKSON ODHIAMBO OMBORO MD
NPI 1881026029
Family Medicine in Springfield, IL

Q: What is Nickson Omboro's NPI number?

The NPI number for Nickson Omboro is 1881026029. It was assigned to this individual provider in the NPPES registry on July 30, 2013.

Q: What is Nickson Omboro's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nickson Omboro was last updated on June 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 30, 2013PECOS Enrolled

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000(217) 757-8161 Get Directions Write a Review

NPPES record last updated: June 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Nickson Odhiambo Omboro Md NPPES

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

DR. NICKSON ODHIAMBO OMBORO MD (NPI 1881026029) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (125080447) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881026029

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. NICKSON ODHIAMBO OMBOROCredential: MD

Location Address520 N 4TH STSpringfield, IL 62702-5238

Mailing AddressPo Box 19670Springfield, IL 62794-9670 · (217) 545-8000 · Fax (217) 757-8161

Phone(217) 545-8000

Fax(217) 757-8161

Sole ProprietorNo

Enumeration DateJuly 30, 2013

Last NPPES UpdateJune 8, 2022

NPPES CertifiedJune 8, 2022

✔ NPI 1881026029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125080447

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

520 N 4TH ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nickson Odhiambo Omboro Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

MRS. AMANDA B HENSON LCSW

Social Worker (Clinical)