MR. DAVID LAMONT NIELSON (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1053503961

MR. DAVID LAMONT NIELSON (DPM) is a healthcare provider. based in Roanoke, Virginia. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 0103300976 (VA). The NPI Number for MR. DAVID LAMONT NIELSON (DPM) is 1053503961

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. DAVID LAMONT NIELSON (DPM)
NPI
1053503961
Phone
(540) 344-3668
Address
222 WALNUT AVE SW
Enumeration Date
14 August 2007
Last Update Date
17 November 2008

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
6062371700
Graduation Year
2004 (22 years ago)
PAC ID
9032280664
Group Practice PAC ID
5395972996
Professional Enrollment ID
I20220801000896
Address ID
KY415034072SO260XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

433 PODIATRY in VA

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Provider Addresses for MR. DAVID LAMONT NIELSON (DPM)

  • 222, Walnut Avenue Southwest, Old Southwest, Roanoke, Roanoke (city), Virginia, 24016, United States

    ROANOKE, VA 240164723

    Phone: (540) 344-3668

    Fax: (540) 769-6381

    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)

CMS reports 6 Open Payments records for all available years, with a total value of $243.

Total Amount is formed as General ($243) + Research ($0) + Ownership ($0) = $243.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Averitas Pharma Inc. ($148).

Total Amount

$243

General + Research + Ownership

Payments

6

Total payment records

General Amount

$243

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-01

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170828001024IPodiatryWVTBD
I20220801000896IPodiatryKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24016)

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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: 5395972996View full group profile

Reviews

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Frequently asked questions

Does MR. DAVID LAMONT NIELSON (DPM) have a public NPI I can cite?
Public records show MR. DAVID LAMONT NIELSON (DPM) under NPI 1053503961.
Is MR. DAVID LAMONT NIELSON (DPM)'s NPI status active today?
Active status means MR. DAVID LAMONT NIELSON (DPM)'s NPI record is not deactivated in the public file.
What does the directory say MR. DAVID LAMONT NIELSON (DPM) does?
Insurance directories may phrase it differently, but here MR. DAVID LAMONT NIELSON (DPM) maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. DAVID LAMONT NIELSON (DPM) in Roanoke, Virginia?
For routing, start with Roanoke, Virginia for MR. DAVID LAMONT NIELSON (DPM), then verify phone and hours locally.
Who maintains MR. DAVID LAMONT NIELSON (DPM)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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