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Active NPI 1366862716 Individual Practitioner Male Practitioner

Robert Nichols

Emergency Medicine • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Robert Nichols is a certified Emergency Medicine practicing in Kettering, OH. With approximately 12 years of clinical experience since graduating from Arizona College Of Osteopathic Medicine Mid Western University in 2014, Robert Nichols delivers high-quality medical care to the local community at 3525 SOUTHERN BLVD.

Robert Nichols is affiliated with Hospitalist Medicine Physicians Of New Mexico - Clovis Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3525 Southern Blvd

Kettering, OH 454291221

Telephone 9373958839
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Arizona College Of Osteopathic Medicine Mid Western University

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Emergency Medicine in Kettering, OH

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -4.3 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 21.5 Yrs
Regional Practice Density
149 Specialists

Practicing in Kettering, OH (3084 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
92.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nichols (12 Years) 12 Yrs
Kettering Specialty Average (16.3 Years) 16.3 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
99285 Emergency department visit for life threatening or functioning severity
45 45 $1698.93 $170.08
99284 Emergency department visit with moderate level of medical decision making
28 27 $1882.86 $113.60

Medical Specialties & State Licenses

Emergency Medicine Primary Specialty

NUCC Taxonomy Code: 207P00000X

State License NM A-2077-17

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Hospital & Practice Group Affiliations

Hospitalist Medicine Physicians Of New Mexico - Clovis Llc

4801 Beckner Rd, Santa Fe, NM 875073641

Phone: 5057721234

Practice Associates & Co-Workers

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

24 Associated Practitioners
Dr. Stacey Poznanski , DO

Emergency Medicine

NPI 1063569879

Doctor of Osteopathic Medicine (D.O.)

Dr. Joshua Klepinger , MD

Emergency Medicine

NPI 1144616889

Doctor of Medicine (M.D.)

Dr. Gregory Kohls , MD

Emergency Medicine

NPI 1295981686

Doctor of Medicine (M.D.)

Kelli Thomas

Emergency Medicine

NPI 1316443013
NPI 1316443039

Doctor of Medicine (M.D.)

Dr. Raymond Teneyck , MD

Emergency Medicine

NPI 1326141821

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2017

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

📍
Updated Business Mailing Address August 23, 2017

Registered at 2024 S BALDWIN UNIT 165, MESA, AZ 852091712 (Tel: 4802067914)

👤
Provider Name / Credentials Updated August 23, 2017

Recorded as ROBERT NICHOLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Emergency Medicine (License #A-2077-17 in NM)

NPI Profile Active April 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2014

Registered at 3525 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958839)

📍
Updated Business Mailing Address April 24, 2014

Registered at 2024 S BALDWIN UNIT 165, MESA, AZ 852091712 (Tel: 4802067914)

👤
Provider Name / Credentials Updated April 24, 2014

Recorded as ROBERT NICHOLS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2014

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2014

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: 1366862716
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2014
Last Update: August 23, 2017
Sole Proprietor: Yes

Mailing Address

2024 S Baldwin Unit 165

Mesa, AZ 852091712

Phone: 4802067914

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.