Justin Nichols, MD
NPI 1568966893 · Pediatrics Physician · San Diego, CA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin Nichols, MD is a Pediatrics Physician provider in San Diego, CA (NPI 1568966893).
Provider details
- NPI number
- 1568966893
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A199683 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
8 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
363 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 245 | $76 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 58 | $115 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 44 | $111 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 16 | $78 |
Typical Medicare-allowed amounts for these services range $76–$115 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (2)
- 4755 Ogletown Stanton RdNewark, DE 19718-2200Phone: (302) 320-4411
- 501 W 14th StWilmington, DE 19801-1013Phone: (302) 320-4411
Registry dates
- Enumerated
- 2018-03-21
- Last updated
- 2025-02-25
- Certified
- 2025-02-25
Frequently asked questions
- What is Justin Nichols's NPI number?
- Justin Nichols's National Provider Identifier (NPI) is 1568966893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin Nichols's specialty?
- Justin Nichols is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Justin Nichols located?
- Justin Nichols's practice location on file with NPPES is 3020 Childrens Way, San Diego, CA 92123-4223.
- What is Justin Nichols's phone number?
- The practice phone number listed in the NPPES registry for Justin Nichols is (858) 966-5841.
- Does Justin Nichols accept Medicare?
- Justin Nichols is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin Nichols's NPI active?
- Yes — Justin Nichols's NPI (1568966893) is active in the NPPES registry as of the last update on 2025-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.