Active NPI 1063733350 Individual Practitioner Male Practitioner

Dr. Terry Paul Nickerson , MD

Colon & Rectal Surgery • Roanoke, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Terry Nickerson, MD is a certified Colon & Rectal Surgery practicing in Roanoke, VA. With approximately 16 years of clinical experience since graduating from University Of Alabama School Of Medicine in 2010, Dr. Nickerson delivers high-quality medical care to the local community at 3 RIVERSIDE CIR.

Dr. Nickerson is affiliated with Carilion Medical Center and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Riverside Cir

Roanoke, VA 240164955

Telephone 5405261251

Associated Practice Facility / Clinic

🏢 Carilion Medical Center Facility NPI 1982908547

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Colon & Rectal Surgery in Roanoke, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -2.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 22.7 Yrs

Regional Practice Density

2 Specialists

Practicing in Roanoke, VA (54 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

4.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nickerson (16 Years) 16 Yrs

Roanoke Specialty Average (18.0 Years) 18.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$136.35	$126.00
99213 Established patient office or other outpatient visit, typically 15 minutes	23	18	$66.04	$61.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	18	$88.00	$86.59
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$170.00	$167.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$237.11	$174.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$167.11	$128.36
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$663.88	$244.21
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$70.50	$59.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$107.60	$93.68
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$624.00	$176.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	30	27	$71.87	$64.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	18	$105.80	$97.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$148.29	$138.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$107.40	$83.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$162.00	$134.18
99442 Telephone medical discussion with physician, 11-20 minutes	13	12	$95.00	$66.27
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$393.55	$175.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$103.00	$83.79
99213 Established patient office or other outpatient visit, typically 15 minutes	31	28	$70.00	$67.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$157.00	$136.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	18	$103.00	$99.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	12	$143.11	$133.11
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$626.65	$247.70
99442 Telephone medical discussion with physician, 11-20 minutes	16	13	$95.00	$67.90
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$57.00	$36.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$103.42	$75.92
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$70.54	$51.02
99213 Established patient office or other outpatient visit, typically 15 minutes	17	15	$71.12	$51.90
99441 Telephone medical discussion with physician, 5-10 minutes	14	12	$57.00	$26.14
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$95.00	$51.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	21	$92.50	$26.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	17	$103.00	$26.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$285.40	$131.40
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	11	11	$54.00	$9.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$141.73	$77.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$379.00	$131.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$103.00	$25.84
45330 Diagnostic exam of lower portion of large bowel using a flexible endoscope	17	13	$525.00	$58.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$379.00	$129.14
44205 Partial removal of small and large bowel with attachment of small and large bowel using an endoscope	14	14	$8884.00	$1401.22
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$144.00	$50.71

Medical Specialties & State Licenses

CMS Verified: 2022-08-10

Colon & Rectal Surgery Primary Specialty

NUCC Taxonomy Code: 208C00000X

State License VA 0101267266

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

362964401 (TX)

Hospital & Practice Group Affiliations

Carilion Medical Center

101 Elm Ave, Roanoke, VA 240132222

Phone: 5402244380

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Jed Gonzalo , MD

Internal Medicine

NPI 1003073685

Doctor of Medicine (M.D.)

Dr. Kristin Mccoy , MD

Surgery

NPI 1003202425

Doctor of Medicine (M.D.)

Modupe White , FNP-C

Nurse Practitioner - Family

NPI 1003316431

Family Nurse Practitioner (Certified)

Kelly Kugach

Podiatrist - Foot & Ankle Surgery

NPI 1003445594

Dr. Vishal Gohil , MD

Internal Medicine - Gastroenterology

NPI 1013120997

Doctor of Medicine (M.D.)

Carlos Mora

Psychiatry & Neurology - Neurology

NPI 1023007531

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address August 10, 2022

Registered at 213 S JEFFERSON ST STE 1006, ROANOKE, VA 240111713 (Tel: 5402245715)

📍

Updated Practice Location October 02, 2019

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5405261251)

📍

Updated Business Mailing Address October 02, 2019

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5405261251)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2019

Colon & Rectal Surgery (License #0101267266 in VA)

✅

NPI Profile Active November 11, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 11, 2016

Registered at 1515 HOLCOMBE BLVD, HOUSTON, TX 770304009 (Tel: 7137926161)

📍

Updated Business Mailing Address November 11, 2016

Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)

👤

Provider Name / Credentials Updated November 11, 2016

Recorded as TERRY NICKERSON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2016

Surgery (License #54208 in MN)

🟢

Initial NPI Registration & Enumeration June 21, 2010

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: 1063733350

Entity Type:

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

Enumeration Date: June 21, 2010

Last Update: August 10, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

213 S Jefferson St Ste 1006

Roanoke, VA 240111713

Phone: 5402245715

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.