DAVID B NIELSEN (M.D.) – Diagnostic Radiology Physician, NPI 1649383027
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
345 DIAGNOSTIC RADIOLOGY in UT
Provider Addresses for DAVID B NIELSEN (M.D.)
1034 N 500 W
Provo, UT 846043380
Phone: (801) 357-7056
Fax: (801) 357-7626
Type: Location
North 300 West, North Park, Provo, Utah County, Utah, 84603, United States
PROVO, UT 846043344
Phone: (801) 225-6246
Fax: (801) 225-1525
Type: Location
PO BOX 837
CORVALLIS, OR 973390837
Phone: (541) 758-5047
Fax: (541) 758-3713
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2024-06-28 • Largest payer in this snapshot: ZOLL Respicardia, Inc. ($132).
Total Amount
$132
General + Research + Ownership
Payments
1
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZOLL Respicardia, Inc. | $132 |
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: 2020-05-29
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 |
|---|---|---|---|---|
| I20200529001359 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 172 | 158 | $0 |
| 70450 | Ct scan head or brain without contrast | 99 | 97 | $0 |
| 71046 | X-ray of chest, 2 views | 96 | 95 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 80 | 79 | $0 |
| 71275 | Ct scan of blood vessels of chest with contrast | 58 | 58 | $0 |
Insurance plans in this area (ZIP 84604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | NM | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| - | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT | |
| Diagnostic Radiology | UT |
Reviews
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