DR. THOMAS EDWIN NIELSEN (M.D.) – Phlebology Physician, NPI 1871521757
Phlebology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
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Provider Addresses for DR. THOMAS EDWIN NIELSEN (M.D.)
3302, Gerig Drive, Airport Park, Bloomington, McLean County, Illinois, 61704, United States
SUITE 100
BLOOMINGTON, IL 617046365
Phone: (309) 862-4000
Fax: (309) 862-4055
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040520000197 | I | Family Practice | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 147 | 56 | $0 |
| 93971 | Ultrasound study of one arm or leg veins with compression and maneuvers | 102 | 47 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 81 | 55 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 57 | 30 | $0 |
| 36471 | Injection of chemical agent into multiple incompetent veins of leg | 57 | 30 | $0 |
Insurance plans in this area (ZIP 61704)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| EMERGENCY MEDICINE | IL | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 126 | 51 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | IL | |
| General Surgery | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL |
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