GREGORY KENT NISSEN
NPI 1174813729
Surgery - Vascular Surgery in Sioux Falls, SD

Active since April 17, 2011PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
3801 S ELMWOOD AVE, SIOUX FALLS, SD 57105(605) 306-6140(605) 306-6500 Get Directions Write a Review

NPPES record last updated: August 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2022, Oct 4, 2018 (2 updates tracked since 2018).

About Gregory Kent Nissen NPPES

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

GREGORY KENT NISSEN (NPI 1174813729) is an individual vascular surgery provider in Sioux Falls, South Dakota, licensed in South Dakota (10915) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with Prairie Lakes Healthcare System, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174813729
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameGREGORY KENT NISSEN
Location Address3801 S ELMWOOD AVESioux Falls, SD 57105-6565
Mailing Address3801 S Elmwood AveSioux Falls, SD 57105-6565 · (605) 306-6100 · Fax (605) 306-6500
Fax(605) 306-6500
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2011
Enumeration DateApril 17, 2011
Last NPPES UpdateAugust 7, 20222 updates tracked since enumeration
NPPES CertifiedAugust 7, 2022
NPI 1174813729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in SD · 10915
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3801 S ELMWOOD AVE, Sioux Falls, SD 57105

Secondary Practice Locations 2

Location 11305 W 18th StSioux Falls, SD 57105-0401 · Phone (605) 312-7300 · Fax (605) 312-7301
Location 2University Of Alabama Birmingham, 1808 7th Avenue South, BDB 503Birmingham, AL 35294-0001 · Phone (205) 934-2006

Accepted 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

Gregory Kent Nissen 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 ID3072756048
PECOS Enrollment IDI20181109001004
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 34

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
6,776 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
331 services224 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
210 services171 patients
Injection, midazolam hydrochloride, per 1 mg J2250
Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
168 services69 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
156 services133 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.
144 services95 patients

Hospital Affiliations CMS Care Compare 5

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

Prairie Lakes Healthcare System, Inc

Acute Care Hospitals · Watertown, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430005
Location401 9th Avenue NW Post Office Box 1210Watertown, SD 57201 · Codington County
Emergency services Birthing friendly

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430016
Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County
Emergency services Birthing friendly

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431334
Location745 East 8th StreetWinner, SD 57580 · Tripp County
Emergency services

Huron Regional Medical Center

Critical Access Hospitals · Huron, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431335
Location172 Fourth Street SEHuron, SD 57350 · Beadle County
Emergency services

Avera Gregory Hospital

Critical Access Hospitals · Gregory, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431338
Location110 S Logan AveGregory, SD 57533 · Gregory County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57105 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality88.72
Promoting Interoperability97.84
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651
DME-Other DME · category DE000N
3 suppliers11 claims11 services$878.45 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, trunk E0656
DME-Other DME · category DE000N
1 supplier15 claims15 services$42.71 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
3 suppliers12 claims24 services$266.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Ambulatory Surgical)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Surgery (Vascular Surgery)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105
Nurse Practitioner (Family)
3801 S ELMWOOD AVE
SIOUX FALLS, SD 57105

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 Gregory Nissen's NPI number?

The NPI number for Gregory Nissen is 1174813729. It was assigned to this individual provider in the NPPES registry on April 17, 2011.

Where is Gregory Nissen located?

Gregory Nissen practices at 3801 S Elmwood Ave, Sioux Falls, SD 57105. The listed phone number is (605) 306-6140.

What is Gregory Nissen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Gregory Nissen enrolled in Medicare?

Yes. Gregory Nissen 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 Gregory Nissen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 2 other insurers list Gregory Nissen 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 Gregory Nissen affiliated with any hospitals?

According to CMS data, Gregory Nissen is affiliated with Prairie Lakes Healthcare System, Inc, Avera Mckennan Hospital & University Health Center, Winner Regional Healthcare Center - Cah, Huron Regional Medical Center and Avera Gregory Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Nissen was last updated on August 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.