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DR. PAUL DOUGLAS NIELSON M.D.
NPI 1114039070
Family Medicine in Galax, VA

Active since August 31, 2006PECOS Enrolled
105 BONA VISTA LN, GALAX, VA 24333(808) 457-2570 Get Directions Write a Review

NPPES record last updated: September 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2023, Sep 9, 2021, Jan 9, 2018 (3 updates tracked since 2018).

About Dr. Paul Douglas Nielson M.d. NPPES

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

DR. PAUL DOUGLAS NIELSON M.D. (NPI 1114039070) is an individual family medicine provider in Galax, Virginia, licensed in Virginia (0101261500) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114039070
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PAUL DOUGLAS NIELSONCredential: M.D.
Location Address105 BONA VISTA LNGalax, VA 24333-3605
Mailing Address105 Bona Vista LnGalax, VA 24333-3605 · (808) 457-2570
Phone(808) 457-2570
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 4, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2023
✔ NPI 1114039070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101261500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 BONA VISTA LN, Galax, VA 24333
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Other Identifiers 1

Medicaid013331-01HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Paul Douglas Nielson M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
124 services26 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
71 services21 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
53 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24333 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Paul Nielson's NPI number?

The NPI number for Paul Nielson is 1114039070. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Paul Nielson located?

Paul Nielson practices at 105 Bona Vista Ln, Galax, VA 24333. The listed phone number is (808) 457-2570.

What is Paul Nielson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Paul Nielson enrolled in Medicare?

Yes. Paul Nielson is registered in the Medicare PECOS enrollment system.

What insurance does Paul Nielson accept?

Health plans from Providence Health Plan and University of Utah Health Plans list Paul 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.

When was this NPI record last updated?

The NPPES record for Paul Nielson was last updated on September 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.