MICHAEL K NEILSON (D.O.) – Sports Medicine (Family Medicine) Physician, NPI 1306378823
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
105 SPORTS MEDICINE in UT
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Provider Addresses for MICHAEL K NEILSON (D.O.)
PO BOX 27128
SALT LAKE CITY, UT 841270128
Phone: (801) 357-7871
Type: Mailing
475, West 940 North, North Park, Provo, Utah County, Utah, 84604, United States
PROVO, UT 846043301
Phone: (801) 357-7871
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: TRICE MEDICAL, INC. ($24).
Total Amount
$43
General + Research + Ownership
Payments
3
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TRICE MEDICAL, INC. | $24 |
| HydroCision, Inc. | $19 |
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: 2021-07-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20200624000248 | I | Sports Medicine | UT | TBD |
| I20210723002728 | I | Sports Medicine | ID | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 264 | 47 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 235 | 133 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 70 | 31 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 29 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 23 | 21 | $0 |
Insurance plans in this area (ZIP 84127)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Nurse Practitioner | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| - | AZ | |
| Sports Medicine | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CO | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
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