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DR. ERIK WAGNER NIELSEN M.D.
NPI 1003803834
Otolaryngology in Findlay, OH

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
67.77/100
CMS Quality Rating
1110 W MAIN CROSS ST, FINDLAY, OH 45840(419) 424-1393(419) 424-3424 Get Directions Write a Review

NPPES record last updated: September 17, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Erik Wagner Nielsen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIK WAGNER NIELSEN M.D. (NPI 1003803834) is an individual otolaryngology provider in Findlay, Ohio, licensed in Ohio (35068827) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Blanchard Valley Hospital, and is a graduate of Wayne State University School Of Medicine (1978).

NPPES Registry Identity

NPI1003803834
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ERIK WAGNER NIELSENCredential: M.D.
Location Address1110 W MAIN CROSS STFindlay, OH 45840-2423
Mailing Address1110 W Main Cross StFindlay, OH 45840-2423 · (419) 424-1393 · Fax (419) 424-3424
Phone(419) 424-1393
Fax(419) 424-3424
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1978
Enumeration DateOctober 6, 2005
Last NPPES UpdateSeptember 17, 2009
✔ NPI 1003803834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in OH · 35068827
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
1110 W MAIN CROSS ST, Findlay, OH 45840
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Other Identifiers 4

Medicare UPINB37170OH
Medicaid0159555OH
Other000000283044OH · Blue Cross Blue Shield No
Medicare ID-Type UnspecifiedNI0786452OH · Medicare Individual Numbe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Erik Wagner Nielsen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082607767
PECOS Enrollment IDI20040407000934
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
124 services124 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services62 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
36 services36 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
35 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blanchard Valley Hospital

Acute Care Hospitals · Findlay, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360095
Location1900 South Main StreetFindlay, OH 45840 · Hancock County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45840 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.71
Promoting Interoperability85
Improvement Activities40
Cost58.37

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EVAN ROBERT MCBEATH M.D., FACS
Otolaryngology
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393
DR. JAMES RICHARD ROBERTSON M.D.
Otolaryngology
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393
KRISTINA MARIE TROUT AU.D.
Audiologist
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393
ALYSSA JO MARTIN A.UD.
Audiologist
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 432-5492
SUSAN MARIE STAMM M.S.CCC/A
Audiologist
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393
FINDLAY EAR, NOSE & THROAT ASSOCIATES, INC.
Otolaryngology
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393
YVONNE LYNN GAYHART PA-C
Physician Assistant
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393
DR. ANDREW JAMES REID M.D.
Otolaryngology
1110 W MAIN CROSS ST
FINDLAY, OH 45840
Hancock County (419) 424-1393

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erik Nielsen's NPI number?

The NPI number for Erik Nielsen is 1003803834. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Erik Nielsen located?

Erik Nielsen practices at 1110 W Main Cross St, Findlay, OH 45840. The listed phone number is (419) 424-1393.

What is Erik Nielsen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Erik Nielsen enrolled in Medicare?

Yes. Erik Nielsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Erik Nielsen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Erik Nielsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Erik Nielsen affiliated with any hospitals?

According to CMS data, Erik Nielsen is affiliated with Blanchard Valley Hospital.

When was this NPI record last updated?

The NPPES record for Erik Nielsen was last updated on September 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.