KENNETH G NIELSON (MD) – Cardiovascular Disease Physician, NPI 1063404929
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
216 CARDIOVASCULAR DISEASE (CARDIOLOGY) in UT
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Provider Addresses for KENNETH G NIELSON (MD)
1160, 3900 South, Millcreek, Salt Lake County, Utah, 84124, United States
STE 2000
SALT LAKE CITY, UT 841241202
Phone: (801) 266-3418
Fax: (801) 288-4444
Type: Mailing
PO BOX 741729
ATLANTA, GA 303741729
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 126 Open Payments records for all available years, with a total value of $2,312.
Total Amount is formed as General ($2,312) + Research ($0) + Ownership ($0) = $2,312.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($360).
Total Amount
$2,312
General + Research + Ownership
Payments
126
Total payment records
General Amount
$2,312
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $360 |
| Amgen Inc. | $310 |
| E.R. Squibb & Sons, L.L.C. | $264 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $188 |
| PFIZER INC. | $148 |
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: 2004-04-08
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 |
|---|---|---|---|---|
| I20040408000665 | I | Cardiovascular Disease (Cardiology) | UT | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,233 | 724 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 518 | 498 | $0 |
| 85610 | Blood test, clotting time | 433 | 39 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 340 | 277 | $0 |
| 93325 | Ultrasound of heart with color-depicted blood flow, rate and valve function | 148 | 141 | $0 |
Insurance plans in this area (ZIP 84124)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | UT | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 140 | 140 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | UT | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 92 | 83 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | UT | 93280 | Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report | 49 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | UT | |
| Interventional Cardiology, Interventional Cardiology, Cardiovascular Disease (Cardiology) | AK | |
| Nurse Practitioner | UT | |
| Cardiovascular Disease (Cardiology), Internal Medicine | UT | |
| Physical Medicine And Rehabilitation | ID | |
| Nurse Practitioner | GA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | NC | |
| Cardiovascular Disease (Cardiology), Internal Medicine | UT | |
| Physician Assistant | UT | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | UT |
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