Medicare Procedure and Patient Information
2015 Medicare Patient Data
Information about Medicare patients treated by Dr. Terry P. Paul Nickerson, MD.
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Dr. Terry P. Paul Nickerson, MD is a general surgeon in Roanoke, VA specializing in general surgery and colon & rectal surgery. He graduated from University of Alabama at Birmingham School of Medicine in 2010 and has 14 years of experience. Dr. Terry P. Paul Nickerson, MD is affiliated with Carilion Medical Center and Carilion Clinic.
3 RIVERSIDE CIRCLE
Roanoke, VA 24016
Colectomy (Colon Resection)
Colectomy is surgery to remove all or part of the colon, or the longest part of the large intestine. The colon may be affected by diseases such as cancer or inflammatory bowel disease. In a colectomy, all or part of the colon that is infected, blocked, or cancerous is removed.
A colectomy may be performed by laparoscopic or open surgery. A laparoscopic colectomy requires several small cuts on the abdomen, and uses a thin tube with a camera, called a laparoscope. Laparoscopic colectomies are less invasive than open procedures. For some individuals, a laparoscopic colectomy may not be possible, and instead an open colectomy is performed. In an open colectomy, a large incision is made on the abdomen. Open colectomies typically require longer recovery periods.
After the incisions are made, a portion of the colon is removed, and the remaining ends of the colon are attached to each other in a procedure called anastomosis. Waste can continue to travel through the body as normal. However, in some situations, it may be necessary for the end of the colon to be attached to an opening in the abdomen, called a stoma. This procedure is called an ostomy. Types of ostomies include:
An ostomy bag will be attached to the skin to collect waste. If the entire colon is removed, either an ileostomy is performed, or the small intestine is connected to the anus and waste may pass through as normal.
Stomas may be permanent or temporary. If the stoma is temporary, the ends of the colon will be rejoined in a later procedure. Temporary stomas are generally used to allow time for the colon to heal following surgery.
A colectomy may take between one and four hours. Following the procedure, patients will need to consume a liquid and low fiber diet before gradually returning to their normal diet. Patients will need to stay in the hospital for three to seven days for monitoring. Full recovery and return to normal activity may take anywhere from a few weeks to several months.
Colonoscopy
Colonoscopy is the use of a special tool called a colonoscope (a thin, flexible tube with a camera on the end) to examine the inside of the colon and rectum. The tube is typically inserted anally, and it allows the physician to examine the large intestine from the inside. It may be done at any time to diagnose bowel problems, but routine colonoscopies are advised after the age of 50 to screen for colon cancer.
A colonoscopy may be performed to diagnose:
Patients may be asked to drink only liquids in the days before a colonoscopy, or they may be given an enema to remove residual fecal matter. Before the exam, patients are given medication to help them relax, and then lay on their side on a table. The scope is inserted into the anus and gently moved all the way through the large intestine. Air may be pumped into the intestine to improve the view for the physician. Any polyps that are found will be removed. Then the colonoscope will be withdrawn. A colonoscopy is not usually painful, but patients may feel some bloating or have some cramps right afterward. If patients have polyps removed, they might experience a small amount of bleeding. Any side effects should go away within a few hours.
Robotic Surgery
Robotic surgery is a type of minimally invasive surgery, using a tiny opening to get inside the body instead of making a large cut. It uses small tools attached to a thin robotic arm, which is controlled by the surgeon. Robotic surgery may be referred to by the specific kind of robot that is used. The most advanced robot currently in use is called the da Vinci, and surgery using it is sometimes called da Vinci surgery.
There are many benefits to robotic surgery, both for the patient and the surgeon. Robotic surgery allows for more precise movements and increased control during very delicate surgical procedures. This makes performing surgery accurately much easier for surgeons and reduces fatigue. The smaller 'hand' of the robot can enter the body via a much smaller opening, which reduces the risk of infection and scarring and leads to a faster recovery. The robotic hands also contain tiny moveable cameras among their tools, giving surgeons a much closer view of the procedure than would be possible with traditional surgery.
Volume of procedures performed by Dr. Terry P. Paul Nickerson, MD for Medicare patients.
The highest averages for the top procedures that Dr. Terry P. Paul Nickerson, MD treated as a general surgeon in Roanoke, VA were minimally invasive procedures, gastrointestinal procedures, removal of lesion (e.g. growth) and diagnostic procedures.
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Information about Medicare patients treated by Dr. Terry P. Paul Nickerson, MD.
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The highest averages of the most common conditions of Medicare patients that Dr. Terry P. Paul Nickerson, MD treated were hypertension, cancer, high cholesterol and chronic kidney disease.
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Dr. Terry P. Paul Nickerson, MD graduated from University of Alabama at Birmingham School of Medicine in 2010. He completed residency at Mayo Clinic. He is certified by the Board Certification: AB Colon & Rectal Surgery - Colon & Rectal Surgery and has a state license in Virginia.
Medical School: University of Alabama at Birmingham School of Medicine (2010)
Residency: Mayo Clinic
Board Certification: Board Certification: AB Colon & Rectal Surgery - Colon & Rectal Surgery
Licensed In: Virginia
Dr. Terry P. Paul Nickerson, MD is associated with these hospitals and organizations:
Dr. Terry P. Paul Nickerson, MD has an exceptional overall rating with an average of 4.96 out of 5 stars based on 19 ratings. We collect ratings and reviews of Dr. Terry P. Paul Nickerson, MD from all over the web to help you find the right in Roanoke, VA.
These charts describe general payments received by Dr. Terry P. Paul Nickerson, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$9,138
Da Vinci Surgical System $9,138 |
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$127
INTERSTIM ICON $127 |
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$102
SPY-PHI SYSTEM $102 |
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$22
TISSEEL $22 |
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$12
INTERSTIM $12 |
| $5,529 | |
| $2,941 | |
| $931 |
Dr. Terry Nickerson is a specialist in general surgery and colon & rectal surgery. He works in Roanoke, VA. Dr. Nickerson graduated from the University of Alabama at Birmingham School of Medicine. He has indicated that his clinical interests include colorectal surgery procedures. Patients gave him an average rating of 5.0 stars (out of 5). He is professionally affiliated with Carilion Medical Center. According to Doctor.com, new patients are welcome to contact Dr. Nickerson's office in Roanoke, VA.