Active NPI 1861456568 Individual Practitioner Male Practitioner

Dr. Garvin Nickell , MD

Internal Medicine • Mason, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Garvin Nickell, MD is a certified Internal Medicine practicing in Mason, OH. With approximately 33 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 1993, Dr. Nickell delivers high-quality medical care to the local community at 9313 S MASON MONTGOMERY RD.

Dr. Nickell is affiliated with University Of Cincinnati Physicians Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, administration of influenza virus vaccine, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9313 S Mason Montgomery Rd
Ste. 200

Mason, OH 450408008

Telephone 5135846999

Fax 5135846998

Associated Practice Facility / Clinic

🏢 Alliance Primary Care Facility NPI 1821260944

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mason, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +10.9 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

24 Specialists

Practicing in Mason, OH (5516 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nickell (33 Years) 33 Yrs

Mason Specialty Average (22.1 Years) 22.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	195	$300.17	$90.66
99213 Established patient office or other outpatient visit, typically 15 minutes	307	182	$212.09	$74.26
G0008 Administration of influenza virus vaccine	64	64	$50.00	$30.40
90662 Influenza vaccine split virus, preservative free	59	59	$136.00	$81.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	58	58	$371.00	$10.30
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	57	55	$47.00	$15.67
G0009 Administration of pneumococcal vaccine	44	44	$50.00	$30.43
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	44	44	$794.00	$290.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$423.41	$99.28
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$52.00	$13.38
99496 Transitional care management services for problem of high complexity	18	16	$656.00	$110.69
81000 Manual urinalysis test with examination using microscope, non-automated	15	13	$9.00	$3.94
69209 Removal of impacted ear wax by washing	11	11	$48.00	$17.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	383	219	$215.00	$76.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	358	188	$303.00	$91.46
G0008 Administration of influenza virus vaccine	94	94	$50.00	$29.36
90662 Influenza vaccine split virus, preservative free	85	85	$136.00	$71.93
G0009 Administration of pneumococcal vaccine	74	73	$50.00	$29.36
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	69	69	$794.00	$282.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$371.00	$10.86
93000 Routine ekg using at least 12 leads including interpretation and report	28	25	$52.00	$13.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$429.00	$120.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$267.00	$108.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	464	244	$194.57	$75.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	165	$281.27	$93.06
G0008 Administration of influenza virus vaccine	69	68	$49.87	$27.96
90662 Influenza vaccine split virus, preservative free	56	56	$136.00	$68.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$329.33	$17.16
93000 Routine ekg using at least 12 leads including interpretation and report	40	34	$50.58	$13.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	31	$385.00	$95.45
G0009 Administration of pneumococcal vaccine	32	32	$46.06	$28.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$258.00	$132.21
81000 Manual urinalysis test with examination using microscope, non-automated	17	14	$9.47	$3.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$44.77	$21.05
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	12	12	$716.83	$278.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	497	257	$175.00	$88.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	296	166	$260.00	$124.83
G0008 Administration of influenza virus vaccine	76	75	$41.00	$16.19
90662 Influenza vaccine split virus, preservative free	54	53	$100.00	$65.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$281.00	$129.72
93000 Routine ekg using at least 12 leads including interpretation and report	35	31	$49.00	$14.42
G0009 Administration of pneumococcal vaccine	34	33	$41.00	$16.18
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	31	$352.00	$178.09
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$248.00	$125.55
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$30.00	$20.53
81000 Manual urinalysis test with examination using microscope, non-automated	18	13	$10.00	$3.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$105.00	$54.63
69209 Removal of impacted ear wax by washing	16	14	$36.00	$17.68
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$417.00	$164.69
99442 Telephone medical discussion with physician, 11-20 minutes	12	12	$183.00	$89.59
99496 Transitional care management services for problem of high complexity	11	11	$542.18	$264.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	387	227	$174.74	$72.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	174	127	$260.00	$104.50
99442 Telephone medical discussion with physician, 11-20 minutes	123	98	$181.90	$72.84
G0008 Administration of influenza virus vaccine	70	67	$41.00	$16.05
90662 Influenza vaccine split virus, preservative free	53	53	$100.00	$60.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	37	37	$281.00	$113.91
G0009 Administration of pneumococcal vaccine	34	34	$41.00	$15.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	30	$248.00	$118.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	26	$352.00	$139.64
99443 Telephone medical discussion with physician, 21-30 minutes	24	20	$265.00	$106.95
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$49.00	$16.63
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	16	$30.00	$19.31
99496 Transitional care management services for problem of high complexity	13	12	$557.00	$238.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$105.00	$44.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$262.00	$105.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	506	274	$175.00	$71.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	333	184	$260.00	$104.40
G0008 Administration of influenza virus vaccine	92	90	$41.00	$15.75
90662 Influenza vaccine split virus, preservative free	73	71	$100.00	$54.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	38	$352.00	$142.05
G0009 Administration of pneumococcal vaccine	36	36	$41.00	$15.75
99496 Transitional care management services for problem of high complexity	30	25	$557.00	$218.34
93000 Routine ekg using at least 12 leads including interpretation and report	28	26	$49.00	$16.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$281.00	$112.95
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$248.00	$110.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$105.00	$43.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$30.00	$18.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$262.00	$105.38
90670 Pneumococcal vaccine for injection into muscle	11	11	$342.00	$211.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	540	263	$175.00	$69.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	189	$260.00	$101.86
G0008 Administration of influenza virus vaccine	103	100	$41.00	$19.30
90662 Influenza vaccine split virus, preservative free	68	66	$100.00	$52.11
G0009 Administration of pneumococcal vaccine	53	53	$41.00	$19.29
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	35	34	$30.00	$18.65
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$352.00	$140.16
90670 Pneumococcal vaccine for injection into muscle	30	30	$315.33	$198.97
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$49.00	$16.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$248.00	$105.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$281.00	$111.79
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$262.00	$98.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$105.00	$40.80
99496 Transitional care management services for problem of high complexity	12	11	$557.00	$223.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	531	250	$175.00	$69.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	202	$260.00	$102.51
G0008 Administration of influenza virus vaccine	103	103	$41.00	$23.53
90662 Influenza vaccine split virus, preservative free	64	64	$100.00	$47.30
G0009 Administration of pneumococcal vaccine	45	44	$41.00	$23.76
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	31	$352.00	$139.05
93000 Routine ekg using at least 12 leads including interpretation and report	29	28	$49.00	$16.19
Q2038 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)	26	26	$23.00	$11.80
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$248.00	$91.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$281.00	$110.51
90670 Pneumococcal vaccine for injection into muscle	22	22	$262.00	$187.24
81002 Urinalysis, manual test	21	20	$8.00	$3.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$105.00	$41.49
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	13	13	$30.00	$15.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$417.00	$151.12

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35070234N

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2020986 (OH)

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

9313 S Mason Montgomery Rd, Mason, OH 450408046

Phone: 5135846999

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Kai Huang , MD

Internal Medicine

NPI 1063674422

Doctor of Medicine (M.D.)

Dr. Malti Vij , MD

Internal Medicine

NPI 1144595695

Doctor of Medicine (M.D.)

Dr. Amy Hovermale , MD

Internal Medicine

NPI 1427011816

Doctor of Medicine (M.D.)

Joni Zinser , CNP

Nurse Practitioner - Family

NPI 1477912194

Certified Nurse Practitioner

Dr. Ryan Miller , MD

Internal Medicine

NPI 1538572011

Doctor of Medicine (M.D.)

Dr. Joann Rivera , MD

Internal Medicine

NPI 1871556266

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 January 26, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address January 26, 2018

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855501)

📍

Updated Practice Location January 26, 2018

Registered at 9313 S MASON MONTGOMERY RD, STE. 200, MASON, OH 450408008 (Tel: 5135846999)

👤

Provider Name / Credentials Updated January 26, 2018

Recorded as GARVIN NICKELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2018

Internal Medicine (License #35070234N in OH)

✅

NPI Profile Active April 01, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2009

Registered at 9313 S MASON MONTGOMERY RD, STE. 200, MASON, OH 450408008 (Tel: 5135846999)

📍

Updated Business Mailing Address April 01, 2009

Registered at 9313 S MASON MONTGOMERY RD, STE. 200, MASON, OH 450408008 (Tel: 5135846999)

👤

Provider Name / Credentials Updated April 01, 2009

Recorded as GARVIN NICKELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2009

Internal Medicine (License #35070234N in OH)

🟢

Initial NPI Registration & Enumeration April 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Garvin Nickell. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1861456568

Entity Type:

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

Enumeration Date: April 12, 2006

Last Update: January 26, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855501

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.