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Nils P Nickel, MD

Pulmonary Disease · El Paso

NPI 1528488731

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Office
1

Offices

1 location · Texas Tech University Health Sciences Center El Paso · 306 clinicians in this group

Looking this up.

Hospitals listed: University Medical Center of El Paso. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Nickel’s office at (915) 215-5666 to ask if they take your plan before you enroll.

California Medical Board record

Licence A144404 · Delinquent

Licence status: Delinquent · since 2016 · expires 2022-01-31 · Medical Academy of Hannover.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

State licence records

1 licence

  • Texas S9043Physician License · since 2020 · expires 2027-02-28
    ActiveNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • University Medical Center of El PasoEl Paso, TXAcute Care Hospital · Physician · Has an emergency department · Birthing-friendlyPart of El Paso County Hospital DistrictPatients rate it 3 of 5 · 71% would definitely recommend it
    Overall rating: 3 of 5 starsWorse than the national rate — Pressure ulcer rate: 1.58 (0.78 to 2.39) · 2,319 cases, Jul 2022 – Jun 2024Better than the national rate — Catheter Associated Urinary Tract Infections (ICU + select Wards): 0.441, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.142, Oct 2024 – Sep 2025
See every measure and the patient survey for University Medical Center of El Paso

Behind the star rating — Deaths: 0 better, 7 the same, 0 worse of 7 measures. Safety: 2 better, 4 the same, 0 worse of 6 measures. Readmissions: 0 better, 7 the same, 1 worse of 8 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at University Medical Center of El Paso
Pressure ulcer rateComplications and deaths1.58 (0.78 to 2.39) · 2,319 casesWorseJul 2022 – Jun 2024
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.441BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.142BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths0.93 (0 to 1.96) · 518 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.31 (0.91 to 1.7)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths198.74 (147 to 250.49) · 50 casesNo differentJul 2022 – Jun 2024
Death rate for COPD patientsComplications and deaths7.2 · 31 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths12.2 · 41 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths13.7 · 60 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.2 · 105 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths14.3 · 364 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths4.7 · 2,719 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.19 (0 to 0.41) · 2,497 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.33 (0.12 to 0.54) · 2,339 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.71 (1.45 to 5.97) · 699 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.64 (0 to 3.35) · 105 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.48 (0.9 to 4.06) · 719 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths10.75 (1.22 to 20.28) · 92 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths4.89 (0.69 to 9.09) · 104 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.68 (0.18 to 3.17) · 119 casesNo differentJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.686No differentOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.879No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.737No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.44No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits15.7 · 168 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits21 · 331 casesNoneJul 2023 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-36.2 · 69 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits71 · 104 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.8 · 338 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits6.2 (4 to 9.8) · 27 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits10.8 (7.4 to 15.9) · 27 casesNo differentJan 2024 – Dec 2024
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.5 · 119 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13 (9.7 to 17.4) · 360 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.5) · 97 casesNo differentJan 2024 – Dec 2024

What patients said (2,426 patients answered, 24% of those asked)

Patient survey stars by topic at University Medical Center of El Paso
Cleanliness4
Nurse communication3
Doctor communication3
Communication about medicines2
Discharge information3
Overall hospital rating3
Quietness3
Recommend hospital4
Share of patients giving the best answer at University Medical Center of El Paso
Room was "always" clean75%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information84%
Yes, staff "did" give patients information about help after discharge81%
Doctors "always" explained things so they could understand72%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect81%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications72%
Nurses "always" explained things so they could understand70%
Nurses "always" listened carefully68%
Nurses "always" treated them with courtesy and respect81%
"Always" quiet at night55%
"YES", patients would definitely recommend the hospital71%
Staff "always" explained possible side effects42%
Yes, staff "did" give patients information about possible symptoms86%

Original Medicare doctor bills

$32,897

Medicare paid this office $32,897 for 106 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Critical care, first 30-74 minutes63$23,717$161
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes19$2,086$99
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$1,918$60
Hospital discharge day management, 30 minutes or less11$736$61
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's13$213$13

Who their Medicare patients are

106 Original Medicare patients in 2024. Average age 73 · Under 65 14% · 85 and older 21% · Women 57% · Also on Medicaid 42% · Health risk score 2.52. Above the middle of the specialty; the typical pulmonary disease clinician is at 2.13.

Conditions among them: High blood pressure 75% · Diabetes 54% · Heart failure 45% · Chronic kidney disease 40% · COPD 39% · Atrial fibrillation 35% · Depression 28% · Dementia 25% · Coronary heart disease 24% · Stroke 18% · Cancer 12%.

The office billed $111,251, Medicare allowed $41,573 and paid $32,897; for 291 services of 22 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024106291732.52$111,251$32,897
202387226721.82$95,136$25,833
2022112299732.62$131,129$33,327
2021123380711.97$179,299$49,473
2020175426751.05$61,669$15,641
2019190334781.02$61,937$17,070
20183977761.26$11,427$3,412

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 3 services

Original Medicare services billed in 2023
Critical care, first 30-74 minutes43$18,337$162
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes18$1,453$61
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes12$1,294$100

2022: 5 services

Original Medicare services billed in 2022
Critical care, first 30-74 minutes52$25,274$170
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes23$1,713$55
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes12$1,112$79
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes11$929$77
Test to measure expiratory airflow and volume changes before and after medication administration13$97$7

2021: 6 services

Original Medicare services billed in 2021
Critical care, first 30-74 minutes75$41,166$172
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes14$1,941$81
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes15$1,519$56
Test to determine lung volumes using sensors11$97$9
Test to measure expiratory airflow and volume changes before and after medication administration12$91$8
Test to examine how well the lungs exchange gases11$71$6

2020: 9 services

Original Medicare services billed in 2020
Return visit (30+ min)66$5,999$90
Short return visit (20+ min)64$3,819$59
Long return visit (40+ min)17$2,153$127
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less14$1,136$76
Short return visit21$920$42
Injection of drug or substance into vein15$751$42
Office for the evaluation and management of established patient that may not require presence of healthcare professional11$255$23
Injection, ceftriaxone sodium, per 250 mg26$67None
Automated urinalysis test23$52$2

2019: 6 services

Original Medicare services billed in 2019
Short return visit (20+ min)99$5,979$60
Return visit (30+ min)35$3,168$91
Short return visit37$1,402$38
Long return visit (40+ min)11$1,263$115
Automated urinalysis test19$46$2
Injection, ceftriaxone sodium, per 250 mg13$27None

2018: 2 services

Original Medicare services billed in 2018
Short return visit (20+ min)21$1,430$68
Return visit (30+ min)14$1,428$102

Medicaid work

$22,760 in 2024

Medicaid paid $22,760 for 150 billed services this clinician did in 2024, up to 17 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes150$22,760
Medicaid work by year
2024150117$22,760
202347112$6,228
2022135122$21,126
2021350124$47,459
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes47$6,228

2022

Largest Medicaid services in 2022
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes135$21,126

2021

Largest Medicaid services in 2021
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes350$47,459

Drugs they prescribed that Part D paid

$2,196,258

Pharmacies billed $2,196,258 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 321) in 2024. At or below the middle of the specialty; the typical pulmonary disease clinician is at 0%.

111 generic and 210 brand-name prescriptions · $2,196,258 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Adempas51$673,611$13,208
Uptravi32$500,945$15,655
Opsumit38$477,912$12,577
Winrevair13$199,593$15,353
Fluticasone-Salmeterol24$4,602$192
See all 9 drugs
Every Part D drug this clinician prescribed
Adempas51$673,611$13,208
Uptravi32$500,945$15,655
Opsumit38$477,912$12,577
Winrevair13$199,593$15,353
Fluticasone-Salmeterol24$4,602$192
Tadalafil11$3,994$363
Fluconazole11$252$23
Furosemide24$115$5
Prednisone11$54$5

Year by year

Part D prescribing by year
2024321390% (0)65%$2,196,258
2023335370% (0)58%$1,975,102
202234240None59%$1,736,785
202116536None49%$668,269
20206747None16%$2,403
20196659NoneNone$2,098
201646140% (0)None$2,561
20155820NoneNone$1,583
201414None0% (0)None$409

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 11 drugs

Part D drugs prescribed in 2023
Uptravi49$725,540$14,807
Adempas47$655,556$13,948
Opsumit18$232,567$12,920
Ambrisentan38$143,216$3,769
Tadalafil18$25,595$1,422
Spiriva Handihaler13$9,207$708
Advair Diskus14$6,802$486
Fluticasone-Salmeterol13$4,421$340
Sildenafil Citrate24$4,405$184
Furosemide19$152$8
Prednisone14$19$1

2022: 12 drugs

Part D drugs prescribed in 2022
Adempas37$449,229$12,141
Uptravi37$413,584$11,178
Opsumit31$343,422$11,078
Ambrisentan32$167,092$5,222
Letairis13$155,908$11,993
Tadalafil17$18,348$1,079
Sildenafil Citrate40$14,365$359
Spiriva Handihaler15$8,924$595
Advair Diskus13$7,010$539
Albuterol Sulfate Hfa18$722$40
Furosemide14$122$9
Prednisone11$46$4

2021: 6 drugs

Part D drugs prescribed in 2021
Uptravi14$252,117$18,008
Adempas13$163,189$12,553
Ambrisentan11$77,045$7,004
Advair Diskus14$11,236$803
Sildenafil Citrate25$7,156$286
Furosemide14$71$5

2020: 1 drug

Part D drugs prescribed in 2020
Cephalexin12$84$7

2019: 1 drug

Part D drugs prescribed in 2019
Cephalexin14$87$6

Money from drug and device companies

$236 in 2025

Industry payments by year
202545None$236
202435None$300
202325None$161
202222None$117
202111None$48

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

Payments by company
Merck Sharp & DohmeWinrevair$108
1 payment
  • Meals for Winrevair · 2025-07-29 · $108
Actelion Pharmaceuticals USUptravi$94
2 payments
  • Meals for Uptravi · 2025-08-27 · $79
  • Meals for Opsumit · 2025-05-08 · $15
InsmedArikayce$18
1 payment
  • Meals for Arikayce · 2025-01-09 · $18
Boehringer Ingelheim PharmaceuticalsOfev$16
1 payment
  • Meals for Ofev · 2025-02-06 · $16
See all 5 published payments
Every published payment
Actelion Pharmaceuticals USMeals · 2025-08-27Uptravi$79
Merck Sharp & DohmeMeals · 2025-07-29Winrevair$108
Actelion Pharmaceuticals USMeals · 2025-05-08Opsumit$15
Boehringer Ingelheim PharmaceuticalsMeals · 2025-02-06Ofev$16
InsmedMeals · 2025-01-09Arikayce$18
See earlier years (2024, 2023, 2022, 2021)

2024: $300

Payments by company in 2024
United TherapeuticsTyvaso$256
3 payments
  • Meals for Tyvaso · 2024-12-04 · $125
  • Meals for Orenitram · 2024-04-04 · $6
  • Meals · 2024-02-20 · $125
Actelion Pharmaceuticals USOpsumit$28
1 payment
  • Meals for Opsumit · 2024-08-08 · $28
Mylan Specialty L.P.Yupelri$15
1 payment
  • Meals for Yupelri · 2024-08-02 · $15

2023: $161

Payments by company in 2023
Inari MedicalFlowtriever Catheter, S$106
2 payments
  • Meals for Flowtriever Catheter, S · 2023-06-19 · $84
  • Meals for Flowtriever Catheter, S · 2023-06-06 · $22
Actelion Pharmaceuticals USUptravi$55
3 payments
  • Meals for Opsumit · 2023-04-27 · $19
  • Meals for Uptravi · 2023-02-28 · $20
  • Meals for Uptravi · 2023-02-07 · $15

2022: $117

Payments by company in 2022
United TherapeuticsNone$100
1 payment
  • Meals · 2022-06-13 · $100
GlaxoSmithKlineNucala$17
1 payment
  • Meals for Nucala · 2022-06-10 · $17

2021: $48

Payments by company in 2021
United TherapeuticsNone$48
1 payment
  • Meals · 2021-09-13 · $48

Professional record

NPI
1528488731
Licence
CA A144404, TX S9043California A144404: Delinquent · expires 2022-01-31Texas S9043: Active
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207RP1001X (207RP1001X); Federal specialty code 207P00000X (207P00000X)
Mailing address
5130 Gateway Blvd E # 51015, El Paso, TX, 79905
NPI first listed
2014-04-27
NPI last updated
2023-11-09
NPI record certified
2023-11-09

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 795 El Camino Real, Palo Alto, CA, 94301