Jonathan Matthew Nickoloff, M.D,
NPI 1891742664ActiveIndividual· Surgery· Spokane, WA
Surgery (M.D,) in Spokane, Washington, trained at Creighton University School of Medicine (class of 2000). 247 Medicare patients in 2024, $106,821 paid; nearly all of their 321 Part D prescriptions were generic (98%).
Overview
| NPI | 1891742664 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D, |
| Sole proprietor | No |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | Nov 29, 2022 |
| Certified by provider | Nov 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | MD00044271 | WA |
| Colon & Rectal Surgery | 208C00000X | MD00044271 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 247 |
|---|---|
| Services billed | 504 across 62 procedure codes |
| Paid by Medicare | $106,821 |
Part D prescriptions in 2024
| Prescriptions (claims) | 321 · 321 30-day fills |
|---|---|
| Patients | 166 |
| Total drug cost | $1,992 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | Creighton University School of Medicine |
|---|---|
| Graduation year | 2000 |
| Medicare specialty | General Surgery |
| Secondary specialties | Thoracic Surgery |
Medical group
- Providence Health and Services WashingtonSpokane, WA · 784 clinicians
Hospital affiliations
- Prov Sacred Hrt Med Ctr & Childs Hosp.Spokane, WA
- Providence Holy Family HospitalSpokane, WA
- Providence Mount Carmel HospitalColville, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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