Active NPI 1891742664 Individual Practitioner Male Practitioner

Dr. Jonathan Matthew Nickoloff , MD

Surgery • Spokane, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Nickoloff, MD is a certified Surgery practicing in Spokane, WA. With approximately 26 years of clinical experience since graduating from Creighton University School Of Medicine in 2000, Dr. Nickoloff delivers high-quality medical care to the local community at 9922 N NEVADA ST.

Dr. Nickoloff is affiliated with Providence Health And Services Washington and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9922 N Nevada St

Spokane, WA 992181126

Telephone 5097476194

Fax 5098380824

Associated Practice Facility / Clinic

🏢 Surgical Specialists Of Spokane Facility NPI 1013989532

Medicare Profile & Education

Medical School

Creighton University School Of Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Spokane, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +5.6 yrs vs City Avg

City Avg: 20.4 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

53 Specialists

Practicing in Spokane, WA (818 Statewide)

Telehealth Adoption Rate

5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

70.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nickoloff (26 Years) 26 Yrs

Spokane Specialty Average (20.4 Years) 20.4 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	92	92	$508.00	$164.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	39	$241.00	$76.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	59	59	$396.00	$125.58
49650 Repair of groin hernia using an endoscope	35	35	$1508.90	$450.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$391.00	$124.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$173.00	$55.11
99238 Hospital discharge day management, 30 minutes or less	17	17	$246.00	$79.47
47562 Removal of gallbladder using an endoscope	15	15	$2033.00	$579.80
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2215.00	$658.54

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	83	83	$479.00	$160.79
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	48	$227.00	$76.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	43	$373.00	$126.56
49650 Repair of groin hernia using an endoscope	30	30	$1429.13	$476.82
99291 Critical care, first 30-74 minutes	30	14	$612.00	$208.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	19	$163.00	$54.89
99238 Hospital discharge day management, 30 minutes or less	19	19	$232.00	$76.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$368.00	$127.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	44	$139.48	$70.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	83	83	$335.16	$166.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$266.00	$132.49
49650 Repair of groin hernia using an endoscope	22	22	$867.09	$433.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	16	$200.00	$100.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$396.24	$186.66
47562 Removal of gallbladder using an endoscope	16	16	$1469.00	$656.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$215.00	$105.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	119	56	$139.00	$70.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$331.00	$168.87
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	47	$266.00	$134.73
47562 Removal of gallbladder using an endoscope	19	19	$1469.00	$644.98
49650 Repair of groin hernia using an endoscope	18	18	$975.33	$459.27
99238 Hospital discharge day management, 30 minutes or less	14	14	$139.00	$71.77

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	68	68	$331.00	$167.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	44	$139.00	$73.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	58	$266.00	$138.50
49650 Repair of groin hernia using an endoscope	21	21	$1114.67	$500.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$77.00	$40.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$215.00	$109.58
99238 Hospital discharge day management, 30 minutes or less	18	17	$139.00	$74.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$86.00	$46.61
47562 Removal of gallbladder using an endoscope	15	15	$1469.00	$662.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$213.00	$111.66
49655 Repair of trapped incisional hernia using an endoscope	11	11	$1998.00	$1079.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	49	$139.00	$73.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$331.00	$166.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	59	$266.00	$138.37
49650 Repair of groin hernia using an endoscope	29	29	$1037.79	$488.20
47562 Removal of gallbladder using an endoscope	17	17	$1469.00	$678.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$213.00	$110.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$215.02	$109.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	43	$139.00	$72.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	77	77	$318.00	$163.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	42	$266.00	$136.81
47562 Removal of gallbladder using an endoscope	22	22	$1469.00	$638.13
49650 Repair of groin hernia using an endoscope	20	20	$1128.60	$482.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$207.00	$108.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	13	$77.00	$39.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$276.00	$145.58
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$83.00	$44.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	11	$40.00	$21.77
49655 Repair of trapped incisional hernia using an endoscope	12	12	$1998.00	$1047.37
99238 Hospital discharge day management, 30 minutes or less	12	12	$139.00	$73.39

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	101	101	$318.37	$160.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	66	38	$139.00	$71.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	50	$266.00	$134.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	20	$77.00	$38.71
49650 Repair of groin hernia using an endoscope	26	26	$1093.23	$446.94
47562 Removal of gallbladder using an endoscope	22	22	$1469.00	$613.42
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	16	$40.00	$20.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$276.00	$136.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$207.00	$107.09
49507 Repair of trapped groin hernia patient age 5 years or older	12	12	$1253.00	$552.65
49655 Repair of trapped incisional hernia using an endoscope	11	11	$1998.00	$962.03
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	11	11	$22.00	$8.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$83.00	$43.33

Medical Specialties & State Licenses

CMS Verified: 2022-11-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00044271

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Colon & Rectal Surgery

NUCC Taxonomy Code: 208C00000X

State License WA MD00044271

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

8449159 (WA)

Hospital & Practice Group Affiliations

Providence Health And Services Washington

9922 N Nevada St, Spokane, WA 992181126

Phone: 5097476194

Practice Associates & Co-Workers

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

39 Associated Practitioners

Michael Russell

Surgery

NPI 1003374265

Dr. Janet Abadir , MD

Surgery

NPI 1023117421

Doctor of Medicine (M.D.)

Ennessa Gorkovchenko , PA-C

Physician Assistant

NPI 1124532502

Physician Assistant (Certified)

Jennifer Willis , MPAS, PA-C

Physician Assistant - Surgical

NPI 1134540941

MPAS, Physician Assistant (Certified)

Dr. Kai Sharbono , MD

Surgery

NPI 1174801328

Doctor of Medicine (M.D.)

Dr. Lawrence Schrock , MD

Surgery

NPI 1184696296

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Business Mailing Address November 29, 2022

Registered at PO BOX 421, LIBERTY LAKE, WA 990190421 (Tel: 8667472455)

✅

NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location January 30, 2017

Registered at 9922 N NEVADA ST, SPOKANE, WA 992181126 (Tel: 5097476194)

📍

Updated Business Mailing Address January 30, 2017

Registered at PO BOX 2242, SPOKANE, WA 992102242 (Tel: 5097476194)

👤

Provider Name / Credentials Updated January 30, 2017

Recorded as JONATHAN NICKOLOFF, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Surgery (License #MD00044271 in WA)

✅

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2016

Registered at 9922 N NEVADA ST, SPOKANE, WA 992181126 (Tel: 5097476194)

📍

Updated Business Mailing Address September 08, 2016

Registered at PO BOX 2242, SPOKANE, WA 992102242 (Tel: 5097476194)

👤

Provider Name / Credentials Updated September 08, 2016

Recorded as JONATHAN NICKOLOFF, M.D,

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Surgery (License #MD00044271 in WA)

🟢

Initial NPI Registration & Enumeration May 27, 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: 1891742664

Entity Type:

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

Enumeration Date: May 27, 2006

Last Update: November 29, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 421

Liberty Lake, WA 990190421

Phone: 8667472455

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.