Active NPI 1699727172 Individual Practitioner Male Practitioner

Dr. Brian Nichols , MD PHD

Ophthalmology • Boulder, CO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Nichols, MD PHD is a certified Ophthalmology practicing in Boulder, CO. With approximately 31 years of clinical experience since graduating from University Of Iowa, Rj & L Carver College Of Medicine in 1995, Dr. Nichols delivers high-quality medical care to the local community at 4745 ARAPAHOE AVE.

Dr. Nichols maintains professional affiliations with Eye Center Of Northern Colorado Pc, Donald J Keller Md Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4745 Arapahoe Ave
Ste 100

Boulder, CO 803031080

Telephone 3034443000

Associated Practice Facility / Clinic

🏢 Alpine Spine Center, Pc Facility NPI 1316031933

Medicare Profile & Education

Medical School

University Of Iowa, Rj & L Carver College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Boulder, CO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs -6.1 yrs vs City Avg

City Avg: 37.1 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Boulder, CO (361 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nichols (31 Years) 31 Yrs

Boulder Specialty Average (37.1 Years) 37.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	365	345	$150.00	$127.67
92250 Photography of the retina	263	253	$120.00	$36.94
66984 Removal of cataract with insertion of lens	192	108	$2240.00	$513.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	146	96	$145.00	$128.74
76519 Ultrasound of eye for determination of lens power	130	126	$135.00	$69.27
92004 New patient complete exam of visual system	116	116	$195.00	$149.72
99213 Established patient office or other outpatient visit, typically 15 minutes	113	99	$95.00	$91.48
92134 Imaging of retina	92	85	$199.00	$40.32
92133 Imaging of optic nerve	71	67	$199.00	$36.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	50	$60.00	$56.70
66821 Removal of recurring cataract in lens capsule using a laser	49	49	$1077.55	$419.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$225.00	$167.31
92083 Exam of visual field with extended testing	12	12	$220.00	$64.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	459	442	$150.00	$129.06
92250 Photography of the retina	295	283	$120.00	$37.50
66984 Removal of cataract with insertion of lens	216	121	$2187.11	$520.51
92134 Imaging of retina	140	122	$199.00	$40.77
76519 Ultrasound of eye for determination of lens power	139	131	$135.00	$69.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	134	79	$145.00	$128.85
99213 Established patient office or other outpatient visit, typically 15 minutes	113	92	$95.00	$91.25
92004 New patient complete exam of visual system	100	100	$195.00	$152.61
92133 Imaging of optic nerve	59	54	$199.00	$37.29
66821 Removal of recurring cataract in lens capsule using a laser	57	55	$984.21	$413.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	50	$60.00	$57.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$225.00	$164.27
92060 Exam to measure eye deviation and range of motion	20	17	$85.00	$64.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	576	550	$150.00	$131.04
92250 Photography of the retina	313	291	$120.00	$38.01
66984 Removal of cataract with insertion of lens	182	111	$2147.69	$538.00
92134 Imaging of retina	177	162	$199.00	$41.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	143	$145.00	$131.54
99213 Established patient office or other outpatient visit, typically 15 minutes	135	113	$95.00	$93.08
76519 Ultrasound of eye for determination of lens power	127	119	$135.00	$70.56
92133 Imaging of optic nerve	120	111	$199.00	$37.86
92004 New patient complete exam of visual system	105	105	$195.00	$155.25
66821 Removal of recurring cataract in lens capsule using a laser	66	65	$784.09	$427.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	65	53	$60.00	$58.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$225.00	$171.03
92083 Exam of visual field with extended testing	24	24	$220.00	$65.15
92060 Exam to measure eye deviation and range of motion	23	19	$85.00	$64.89
92025 Ct scan of cornea	18	17	$50.00	$35.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$150.00	$108.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	459	444	$150.00	$132.64
92250 Photography of the retina	249	236	$120.00	$40.72
66984 Removal of cataract with insertion of lens	205	115	$2115.43	$537.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	190	145	$145.00	$133.97
76519 Ultrasound of eye for determination of lens power	189	178	$135.00	$71.14
92134 Imaging of retina	165	148	$199.00	$42.15
92004 New patient complete exam of visual system	139	139	$195.00	$157.49
92133 Imaging of optic nerve	99	96	$199.00	$38.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$225.00	$172.77
99213 Established patient office or other outpatient visit, typically 15 minutes	71	66	$95.00	$89.99
66821 Removal of recurring cataract in lens capsule using a laser	63	62	$735.71	$410.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$60.00	$58.43
92060 Exam to measure eye deviation and range of motion	26	23	$85.00	$66.48
92083 Exam of visual field with extended testing	22	19	$220.00	$66.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$150.00	$116.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	402	391	$195.00	$151.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	195	152	$145.00	$112.72
92250 Photography of the retina	189	180	$120.00	$46.81
66984 Removal of cataract with insertion of lens	171	100	$1996.35	$523.27
92134 Imaging of retina	115	107	$199.00	$42.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$225.00	$170.18
76519 Ultrasound of eye for determination of lens power	106	100	$135.00	$69.32
92133 Imaging of optic nerve	84	80	$199.00	$38.22
66821 Removal of recurring cataract in lens capsule using a laser	57	57	$805.26	$420.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$150.00	$111.45
92060 Exam to measure eye deviation and range of motion	20	16	$85.00	$66.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	17	17	$35.00	$23.99
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$95.00	$75.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	415	400	$195.00	$149.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	200	$145.00	$111.24
66984 Removal of cataract with insertion of lens	174	108	$1977.38	$594.63
92250 Photography of the retina	130	123	$120.00	$51.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	128	128	$225.00	$168.27
92134 Imaging of retina	124	113	$199.00	$41.90
76519 Ultrasound of eye for determination of lens power	118	115	$135.00	$67.91
92133 Imaging of optic nerve	95	90	$199.00	$38.07
66821 Removal of recurring cataract in lens capsule using a laser	80	80	$708.75	$386.66
92225 Examination of eye by ophthalmoscope with retinal drawing	67	35	$42.84	$28.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	45	$150.00	$110.96
99213 Established patient office or other outpatient visit, typically 15 minutes	38	35	$95.00	$76.01
92060 Exam to measure eye deviation and range of motion	28	22	$85.00	$65.48
92083 Exam of visual field with extended testing	27	22	$220.00	$66.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	25	25	$35.00	$23.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	371	355	$195.00	$146.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	193	$145.00	$108.59
66984 Removal of cataract with insertion of lens	194	115	$1931.71	$582.82
92250 Photography of the retina	143	131	$120.00	$57.69
76519 Ultrasound of eye for determination of lens power	136	131	$135.00	$74.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$225.00	$166.61
92134 Imaging of retina	93	85	$199.00	$41.71
66821 Removal of recurring cataract in lens capsule using a laser	74	73	$693.24	$369.02
92133 Imaging of optic nerve	67	62	$199.00	$38.13
92225 Examination of eye by ophthalmoscope with retinal drawing	46	24	$39.57	$27.53
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$95.00	$71.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	33	$35.00	$21.91
92060 Exam to measure eye deviation and range of motion	31	25	$85.00	$65.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$150.00	$105.48
92083 Exam of visual field with extended testing	27	25	$220.00	$65.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$60.00	$42.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	376	355	$195.00	$145.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	266	185	$145.00	$108.22
66984 Removal of cataract with insertion of lens	179	107	$1909.63	$577.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$225.00	$164.77
92250 Photography of the retina	120	105	$120.00	$66.46
76519 Ultrasound of eye for determination of lens power	117	114	$135.00	$85.50
66821 Removal of recurring cataract in lens capsule using a laser	102	100	$697.06	$395.84
92134 Imaging of retina	83	78	$199.00	$41.17
92133 Imaging of optic nerve	71	68	$199.00	$37.81
99213 Established patient office or other outpatient visit, typically 15 minutes	42	37	$95.00	$73.58
92060 Exam to measure eye deviation and range of motion	39	31	$85.00	$65.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$150.00	$109.02
92225 Examination of eye by ophthalmoscope with retinal drawing	33	16	$38.18	$27.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	33	32	$35.00	$20.37
92083 Exam of visual field with extended testing	20	16	$220.00	$63.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$60.00	$43.98

Medical Specialties & State Licenses

CMS Verified: 2020-04-26

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License CO 38111

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.

Ophthalmology - Pediatric Ophthalmology and Strabismus Specialist

NUCC Taxonomy Code: 207WX0110X

State License CO 38111

An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

04020145 (CO)

Hospital & Practice Group Affiliations

Eye Center Of Northern Colorado Pc

4745 Arapahoe Ave, Boulder, CO 803031082

Phone: 3034157000

Eye Center Of Northern Colorado Pc

2555 E 13th St, Loveland, CO 805375133

Phone: 9706790000

Donald J Keller Md Pc

4745 Arapahoe Ave, Boulder, CO 803031082

Phone: 3034443000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Brent Deibert , MD

Ophthalmology - Retina Specialist

NPI 1013437029

Doctor of Medicine (M.D.)

Kenneth Aipperspach

Technician/Technologist - Optician

NPI 1124217518

Dr. Kevin Cuevas , MD

Ophthalmology

NPI 1265418438

Doctor of Medicine (M.D.)

Dr. Donald Keller , MD

Ophthalmology

NPI 1275570038

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 4745 ARAPAHOE AVE, STE 100, BOULDER, CO 803031080 (Tel: 3034443000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 4745 ARAPAHOE AVE, STE 100, BOULDER, CO 803031080 (Tel: 3034443000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN NICHOLS, M.D. PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Ophthalmology (License #38111 in CO)

🟢

Initial NPI Registration & Enumeration May 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699727172

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 16, 2006

Last Update: April 26, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4745 Arapahoe Ave, Ste 100

Boulder, CO 803031080

Phone: 3034443000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.