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Edit this profileAt a glance
- 1001 Sam Perry Blvd, Fredericksburg, VA 22401
About Dr. Nichols
Based in Fredericksburg, VA, Royale M. Nichols, MD is listed in the NPI registry under emergency medicine. Royale is also listed as specializing in student in an organized health care education program. According to Medicare claims data, Royale cared for 715 Medicare patients across 735 services. The services billed most often include emergency department visit with high level of medical decision making, emergency department visit with moderate level of medical decision making, and critical care, first 30-74 minutes. NPI 1912535840 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Education & Training
Specialty
Credentials & Licensing
Medicare information
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
Contact Information
- (540) 741-1100
- Email not available
Is this your home address or personal number? Hide it
Practice Locations
1001 SAM PERRY BLVD
Fredericksburg, VA 22401
Conditions Commonly Evaluated or Treated
Within Emergency Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Conditions
Bites & Stings
Brain & Nerves
- Delirium
- Stroke
- Fainting and syncope
- Seizure in Child
- Severe headache or sudden migraine
- Status epilepticus
- Transient ischemic attack
Endocrine & Metabolic
Eye Care
Injuries & Trauma
- Animal or dog bite
- Bone fractures
- Deep cut or wound
- Dislocated joint
- Severe burn
- Sprains and muscle strains
- Traumatic brain injury
Rashes & allergy
Skin & Infections
Urinary & Bladder
Women's Health
Abdomen & Digestion
Allergy & Immune
Allergy & Immunology
Blood & Circulation
Breathing
Digestion & Stomach
Ear, Nose & Throat
Environmental
Eye Emergency
General Emergency
Heart & Chest
Heart & Circulation
Heart & Lungs
Infections & Illness
Lungs & Breathing
Men's Health
Poisoning & Environmental
Poisoning & Toxins
Spine & Back
Urinary & Kidney
Procedures & services
Abdominal Procedures
Breathing & Airway
Critical Care
Diagnostic testing
Diagnostics
Ear, Nose & Throat
Eye & ENT
Heart & Diagnostics
Imaging & Diagnostics
Injections & Vaccines
Kidney Care
Lung & Respiratory
Medications
Mental Health
Minor Procedures
- Nasal cautery for nosebleeds
- Tick Removal
- Urinary catheter insertion
- Fishhook or embedded splinter removal
- Incision and drainage of an abscess
Minor Trauma
Orthopedics
Poisoning & Toxicology
Specialized Care
Stroke & Vascular
Toxicology
Women's Health
Wound Care
- Burn dressing and care
- Skin glue for cuts
- Stitches and Laceration Repair
- Wound cleaning and debridement
- Wound stapling
Airway & Breathing
Anesthesia & Sedation
Digestive Care
Eye Care
Heart Care
Orthopedic Procedures
Supportive Care
Procedures Most Often Billed to Medicare
735 services · 715 patients · 3 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Emergency department visit with high level of medical decision making | Office visit | 99285 |
473 | More than most peers in Emergency Medicine |
| Emergency department visit with moderate level of medical decision making | Office visit | 99284 |
142 | More often than most peers in Emergency Medicine |
| Critical care, first 30-74 minutes | Office visit | 99291 |
120 | More than most peers in Emergency Medicine |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Other emergency physicians at this location 1
Same specialty, same street address — most likely the same department or group.
Related specialists at this location 5
Clinically related specialties at the same address — the people this provider most likely works alongside.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
More connections — 23 related providers in 3 groups
Other emergency physicians in Fredericksburg 7
Same specialty, same city.
Trained at Other 8
Other providers in the same specialty who trained at the same institution.
Class of 2020 at Other 8
Providers who graduated from the same medical school in the same year.
Common questions
What kind of doctor is Dr. Nichols?
Dr. Nichols is an emergency physician in Fredericksburg, VA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Emergency Medicine”.
NPI registry
What is Dr. Nichols's address?
Dr. Nichols is listed at 1001 Sam Perry Blvd, Fredericksburg, VA 22401. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How can I make an appointment with Dr. Nichols?
The number on file is (540) 741-1100. Contact the office directly to confirm availability and scheduling.
NPI registry
What is Dr. Nichols's NPI number?
Dr. Nichols's National Provider Identifier is 1912535840. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Where did Dr. Nichols train?
Dr. Nichols attended Other, graduating in 2020. This comes from the CMS National Downloadable File.
CMS public data
How long has Dr. Nichols been practicing?
Dr. Nichols has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.
CMS public data
What procedures does Dr. Nichols perform?
According to Medicare billing data, Dr. Nichols the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Has Dr. Nichols confirmed this information?
Not yet. This profile is built from public federal data and has not been confirmed by Dr. Nichols. If this is you, claiming it is free.
Guide.md
Guide.md listings do not constitute medical advice or an endorsement.