DR. JOE ROTH NIELSEN (M.D.) – Specialist, NPI 1992766885
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
197 DERMATOLOGY in UT
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Provider Addresses for DR. JOE ROTH NIELSEN (M.D.)
Medical Drive, Bountiful, Davis County, Utah, 84010, United States
#D-200
BOUNTIFUL, UT 840104946
Phone: (801) 292-6277
Fax: (801) 292-1108
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)
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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: 2010-12-03
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 |
|---|---|---|---|---|
| I20101203000963 | I | Dermatology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 356 | 210 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 300 | 170 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 150 | 124 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 129 | 120 | $0 |
| 17003 | Destruction of precancer skin growth, 2-14 growths | 115 | 39 | $0 |
Insurance plans in this area (ZIP 84010)
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Provider's Procedures
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