CHAD NICHOLLS MD
NPI 1376505867
Emergency Medicine in West Valley City, UT

NPI Status: Active since April 03, 2006

Contact Information

3460 PIONEER PKWY
WEST VALLEY CITY, UT
ZIP 84120
Phone: (801) 964-3100

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  • Individual
  • Male
  • Emergency Medicine
  • Accepts Insurance
  • PECOS Enrolled

About CHAD NICHOLLS

This page provides the complete NPI Profile along with additional information for Chad Nicholls, a provider established in West Valley City, Utah with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1376505867 assigned on April 2006. The practitioner's primary taxonomy code is 207P00000X with license number 6068204-1205 (UT). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1376505867
Provider Name
CHAD NICHOLLS MD
Gender
Male
Entity Type
Individual
Location Address
3460 PIONEER PKWY WEST VALLEY CITY, UT 84120
Location Phone
(801) 964-3100
Mailing Address
144 S 500 E 2ND FLOOR SALT LAKE CITY, UT 84102
Is Sole Proprietor?
No
Enumeration Date
04-03-2006
Last Update Date
04-21-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
6068204-1205
License State
UT
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207PE0004XAllopathic & Osteopathic Physicians

Emergency Medicine
Emergency Medical Services

6068204-1205 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 4 - HMO
  • Bronze 8 - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 12 - HMO
  • Gold 8 - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • Silver 9 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
005568651MEDICARE PIN (08)UT 
005568569MEDICARE PIN (08)UT 
005568368MEDICARE PIN (08)UT 
005568463MEDICARE PIN (08)UT 
D6585MEDICAID (05)UT 
005786139MEDICARE PIN (08)UT 
I28729MEDICARE UPIN (02)UT 
005567248MEDICARE PIN (08)UT 
005567158MEDICARE PIN (08)UT 

Medicare Participation & PECOS Enrollment Status

Chad Nicholls is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 14 times for 13 patients

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 129 times for 126 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 50 times for 50 patients

Emergency department visit for problem of moderate severity

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

This service was performed 24 times for 24 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

This service was performed 62 times for 56 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 84120 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.41
  • Minimum New Patient Price $54.34
  • Maximum New Patient Price $166.03
  • Average New Patient Copayment $21.1
  • Minimum New Patient Copayment $13.58
  • Maximum New Patient Copayment $41.5

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $96.35
  • Minimum Established Patient Price $17.23
  • Maximum Established Patient Price $135.2
  • Average Established Patient Copayment $24.08
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.8

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376505867
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2314610010812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1376505867 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811995814 D MICHAEL EDSON MD
Individual
Radiology (Diagnostic Radiology)3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1417917501 JOSEPH BORSHANIAN NP
Individual
Nurse Practitioner3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1336109891 DICK CREAGER MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1790745271 MATTHEW E. FEIL DO
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1467412973 J. LINKE HEBREW MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1215997747 SHARON KOLBER MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1285695262 BRENT LARSEN MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1437110368 CATHEY A PUTNAM MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1407817471 ROBERT KEDDINGTON MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1477514446 MICHAEL KING PA
Individual
Physician Assistant3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1598726424 TRENT RASMUSSEN MD
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1073575114 QUINN WEBER
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1942263587 MICHAEL ZUFELT DO
Individual
Emergency Medicine3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 964-3100
1164478681 DENNIS L LOMBARDI M.D.
Individual
Specialist3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 263-0810
1497770978 MERWIN RASMUSSEN CRNA
Individual
Nurse Anesthetist, Certified Registered3460 PIONEER PKWY
SALT LAKE CITY, UT 84120
(801) 993-9526
1609981869 LORRIE BELCHER CRNA
Individual
Nurse Anesthetist, Certified Registered3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 993-9526
1366557407 ROBERT L LANGSTON CRNA
Individual
Nurse Anesthetist, Certified Registered3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 993-9526
1174628978 SUDHA B SHAH MD
Individual
Anesthesiology3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 993-9526
1831294784 KEVIN T VICK CRNA
Individual
Nurse Anesthetist, Certified Registered3460 PIONEER PKWY
WEST VALLEY, UT 84120
(801) 993-1566
1215032081 SHARON L STEWART CRNA
Individual
Nurse Anesthetist, Certified Registered3460 PIONEER PKWY
WEST VALLEY CITY, UT 84120
(801) 993-1566

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376505867, enumerated in the NPI registry as an "individual" on April 03, 2006

The provider is located at 3460 Pioneer Pkwy West Valley City, Ut 84120 and the phone number is (801) 964-3100

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Molina Healthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $84.41 with an average copayment of $21.1 for new patient appointments. Established patients should expect a typical charge of $96.35 and an average copayment of 24.08. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Critical care, first 30-74 minutes, Emergency department visit for life threatening or functioning severity, Emergency department visit for problem of high severity, Emergency department visit for problem of moderate severity and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only.

This NPI record was last updated on April 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.