DR. JEFFREY ARTHUR NIELSON MD, MS
NPI 1063593044
Emergency Medicine in Dayton, OH
About Dr. Jeffrey Arthur Nielson Md, Ms NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY ARTHUR NIELSON MD, MS (NPI 1063593044) is an individual emergency medicine provider in Dayton, Ohio, licensed in Ohio (35.088238) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Kettering Health Main Campus, and maintains 13 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 13
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey Arthur Nielson Md, Ms 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.
Medicare Billing Reassignments
8Medicare enrollment records show Jeffrey Nielson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dayton, OH 45405
- Reassigned Medicare billing, Ohio enrollment
- 151 clinicians in this Medicare group
Mansfield, OH 44903
- Reassigned Medicare billing, Ohio enrollment
- 125 clinicians in this Medicare group
Wooster, OH 44691
- Reassigned Medicare billing, Ohio enrollment
- 66 clinicians in this Medicare group
Elyria, OH 44035
- Reassigned Medicare billing, Ohio enrollment
- 251 clinicians in this Medicare group
Parma, OH 44129
- Reassigned Medicare billing, Ohio enrollment
- 237 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 227 clinicians in this Medicare group
Beachwood, OH 44122
- Reassigned Medicare billing, Ohio enrollment
- 187 clinicians in this Medicare group
Mayfield Heights, OH 44124
- Reassigned Medicare billing, Ohio enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kettering Health Main Campus
Acute Care Hospitals · Kettering, OHKettering Health Dayton
Acute Care Hospitals · Dayton, OHKettering Health Miamisburg
Acute Care Hospitals · Miamisburg, OHSoin Medical Center
Acute Care Hospitals · Beaver Creek, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45405 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAYTON, OH 45405
DAYTON, OH 45405
DAYTON, OH 45405
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 Jeffrey Nielson's NPI number?
The NPI number for Jeffrey Nielson is 1063593044. It was assigned to this individual provider in the NPPES registry on October 18, 2006.
Where is Jeffrey Nielson located?
Jeffrey Nielson practices at 405 W Grand Ave, Dayton, OH 45405. The listed phone number is (937) 723-3211.
What is Jeffrey Nielson's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Jeffrey Nielson enrolled in Medicare?
Yes. Jeffrey Nielson 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.
Which organizations bill Medicare for Jeffrey Nielson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Nielson reassigns Medicare benefits to 8 organizations: Emergency Medicine Specialists, Inc. (Dayton, OH), Mid-Ohio Emergency Group, LLC (Mansfield, OH), Summa Emergency Associates, Inc. (Wooster, OH), Physicians Link Center LLC (Elyria, OH), Magis Emergency Medicine LLC (Parma, OH) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeffrey Nielson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Nielson accept?
Health plans from CareSource, Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Jeffrey Nielson 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 Jeffrey Nielson affiliated with any hospitals?
According to CMS data, Jeffrey Nielson is affiliated with Kettering Health Main Campus, Kettering Health Dayton, Kettering Health Miamisburg and Soin Medical Center.
When was this NPI record last updated?
The NPPES record for Jeffrey Nielson was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Jeffrey Arthur Nielson, MD, MS · NPI 1063593044
Emergency Medicine physician in Dayton, Ohio. Individual provider, active in the CMS NPPES registry since October 18, 2006.
## Identity
- **NPI:** 1063593044 (Entity type: Individual)
- **Enumerated:** October 18, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 35.088238 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 405 W GRAND AVE, Dayton, OH 45405-7538
- **Phone:** (937) 723-3211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Specialists, Inc. (NPI 1558851568, Dayton, OH); Mid-Ohio Emergency Group, LLC (NPI 1881164010, Mansfield, OH); Summa Emergency Associates, Inc. (NPI 1811936883, Wooster, OH); Physicians Link Center LLC (NPI 1235172925, Elyria, OH); Magis Emergency Medicine LLC (NPI 1801287511, Parma, OH); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 2003
## Record status
- **NPPES last updated:** September 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063593044) · Data from the CMS NPPES public registry.