Physician

David Nichols, M.D.

According to 2025 Medicare claims, David Nichols, M.D. (NPI: 1003951245) practices emergency medicine in the San Angelo, TX market, with the plurality of this provider's patient population coming from Tom Green, TX. This provider's primary affiliated billing organization is SHANNON CLINIC (NPI: 1770587149; TIN: 752600873) and primary practice location at 76904-7610. Nichols is affiliated with the CHSPSC ACO 17, LLC (ACO ID: A3694), participating under the MSSP model.

Nichols' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 428 traditional Medicare patients, billed 3,005 HCPCS/CPT codes, and received $198,596 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 790 prescription claims across 192 beneficiaries totaling $31,428 in drug costs, led by Gentamicin Sulfate (Gentamicin Sulfate). DME data shows 160 claims. Open Payments data shows 8 records totaling $244. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $21,435 and ending at $31,428. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $44,808 to $49,724.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	829	3,315	$200,259
2016	865	3,565	$200,010
2017	641	4,313	$241,858
2018	441	5,085	$244,752
2019	454	5,076	$259,433
2020	443	4,743	$240,442
2021	367	3,881	$229,362
2022	297	3,417	$193,078
2023	310	3,297	$173,713
2024	428	3,005	$198,596

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	154	457	$21,435
2016	134	337	$18,086
2017	132	296	$8,528
2018	188	520	$15,638
2019	199	561	$11,000
2020	202	623	$10,365
2021	182	492	$18,206
2022	181	606	$18,919
2023	194	649	$13,550
2024	192	790	$31,428

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	122	$32,556
2016	55	169	$39,903
2017	50	61	$15,943
2018	75	154	$44,072
2019	82	143	$45,377
2020	151	270	$76,999
2021	191	264	$92,668
2022	145	211	$73,555
2023	82	142	$45,235
2024	45	160	$38,318

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	44	$113
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	213	239	$107
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	432	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	225	1,500	$52
11042	Removal of skin and tissue, 20.0 sq cm or less	73	113	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gentamicin Sulfate	Gentamicin Sulfate	52	923	$2,573
Piperacillin-Tazobactam	Piperacillin Sodium/Tazobactam	12	82	$2,280
Doxycycline Hyclate	Doxycycline Hyclate	155	1,453	$1,547
Nystatin	Nystatin	86	2,153	$1,275
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	98	894	$807

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E2402	Negative pressure wound therapy electrical pump, stationary or portable	Y	15	25	$20,655
A6452	High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard	N	N/R	17	$5,866
A6550	Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories	N	15	26	$5,319
A4410	Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, larger than 4 x 4 inches, each	N	N/R	17	$2,997
A7000	Canister, disposable, used with suction pump, each	N	15	26	$1,455

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$244	Solventum Corporation
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for David Nichols, M.D.?

Tedicare shows public-source Medicare data for David Nichols, M.D. (NPI 1003951245), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does David Nichols, M.D. have ACO affiliation data?

David Nichols, M.D. is shown with ACO affiliation data for CHSPSC ACO 17, LLC (MSSP, ACO ID A3694).

What billing organization is linked to David Nichols, M.D.?

David Nichols, M.D. is linked to SHANNON CLINIC (billing NPI 1770587149) in the available physician profile data.

Does David Nichols, M.D. have Open Payments data?

David Nichols, M.D. has 8 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.