JEFFERY L NIELSON (MD) – Diagnostic Radiology Physician, NPI 1134147358

JEFFERY L NIELSON (MD) is a healthcare provider. based in Kettering, Ohio. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 35-086065 (OH). The NPI Number for JEFFERY L NIELSON (MD) is 1134147358

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
JEFFERY L NIELSON (MD)
NPI
1134147358
Phone
(937) 296-2853
Address
1563 E DOROTHY LN
Enumeration Date
17 July 2006
Last Update Date
22 March 2019

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2606675136
Graduation Year
2000 (26 years ago)
PAC ID
4587606975
Group Practice PAC ID
7618960303
Professional Enrollment ID
I20220727002882
Address ID
IN467032015AN416XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,804 DIAGNOSTIC RADIOLOGY in OH

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Provider Addresses for JEFFERY L NIELSON (MD)

  • 1563, East Dorothy Lane, Pasadena, Kettering, Montgomery County, Ohio, 45429, United States

    KETTERING, OH 454293897

    Phone: (937) 296-2853

    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: 2023-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050525001092IDiagnostic RadiologyOHTBD
I20220727002882IDiagnostic RadiologyINTBD
I20231117001656IDiagnostic RadiologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,017923$0
74177Ct scan of abdomen and pelvis with contrast475456$0
74176Ct scan of abdomen and pelvis without contrast468454$0
71250Ct scan of chest without contrast352344$0
73030X-ray of shoulder, minimum of 2 views343309$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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Provider's Procedures

JEFFERY L NIELSON (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYOH71250CT scan chest563529
DIAGNOSTIC RADIOLOGYOH73140X-ray of fingers, minimum of 2 views1111
DIAGNOSTIC RADIOLOGYOH73630X-ray of foot, minimum of 3 views128116
DIAGNOSTIC RADIOLOGYOH76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1818
DIAGNOSTIC RADIOLOGYOH93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers8484

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618960303View full group profile
NameSpecialtyState
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Physician AssistantOH
Diagnostic RadiologyIL
Physician AssistantOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Diagnostic RadiologyMN

Reviews

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Frequently asked questions

Can I use this page to confirm JEFFERY L NIELSON (MD)'s NPI?
Yes. JEFFERY L NIELSON (MD) is listed with NPI 1134147358 in the public NPI dataset.
Does CMS list JEFFERY L NIELSON (MD) as active?
Yes — JEFFERY L NIELSON (MD) is active in the NPI listing used on this page.
What healthcare role does JEFFERY L NIELSON (MD) hold?
Scheduling teams often label JEFFERY L NIELSON (MD) under Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JEFFERY L NIELSON (MD) on a map?
Expect Kettering, Ohio as a primary anchor for JEFFERY L NIELSON (MD) unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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