JASON NEILSEN (M.D,) – Family Medicine Physician, NPI 1164802062
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,141 FAMILY PRACTICE in WA
Provider Addresses for JASON NEILSEN (M.D,)
PO BOX 421
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Fax: (509) 227-7070
Type: Mailing
624 E FRONT AVE
SPOKANE, WA 99202
Phone: (509) 626-9900
Fax: (509) 227-7070
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $301.
Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($139).
Total Amount
$301
General + Research + Ownership
Payments
17
Total payment records
General Amount
$301
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-09-14
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 |
|---|---|---|---|---|
| I20160914001958 | I | Family Practice | 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 | 87 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 42 | $0 |
| 83036 | Hemoglobin a1c level | 22 | 13 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 17 | 16 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 16 | 14 | $0 |
Insurance plans in this area (ZIP 99019)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | UT | |
| Family Practice | UT | |
| Orthopedic Surgery | UT | |
| Family Practice | UT | |
| Family Practice | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| Orthopedic Surgery | UT | |
| Family Practice | UT | |
| - | CA | |
| - | UT |
Reviews
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