DOMINIC LEE VAN NIELEN M.D.
NPI 1184990590
Orthopaedic Surgery in Monroe, WA

Q: What is Dominic Van Nielen's NPI number?

The NPI number for Dominic Van Nielen is 1184990590. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Q: What is Dominic Van Nielen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment

86.67/100

CMS Quality Rating

19200 N KELSEY ST, MONROE, WA 98272(425) 339-2433(425) 339-8237 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 31, 2023, Aug 9, 2022, Jul 25, 2017 (3 updates tracked since 2017).

On this page

About Dominic Lee Van Nielen M.d. NPPES

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

DOMINIC LEE VAN NIELEN M.D. (NPI 1184990590) is an individual orthopaedic surgery provider in Monroe, Washington, licensed in Washington (MD61002589) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1184990590

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDOMINIC LEE VAN NIELENCredential: M.D.

Location Address19200 N KELSEY STMonroe, WA 98272-1431

Mailing Address1100 Pacific Ave Ste 300Everett, WA 98201-4261 · (425) 339-2433 · Fax (425) 339-8273

Phone(425) 339-2433

Fax(425) 339-8237

Sole ProprietorNo

Medical School CMSTulane University School Of MedicineGraduated 2012

Enumeration DateMarch 29, 2012

Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration

NPPES CertifiedAugust 31, 2023

✔ NPI 1184990590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in WA · MD61002589✔ Licensed in MD · D94626

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License MD61002589 (WA)

19200 N KELSEY ST, Monroe, WA 98272

Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Pacific Ave Ste 300Everett, WA 98201-4261 · Phone (425) 339-2433 · Fax (425) 339-8273

Other Identifiers 2

Medicaid2249981WA

Other466835WA · Wa L&i

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dominic Lee Van Nielen 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 ID5799083903

PECOS Enrollment IDI20230830002126

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

575 services89 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.

161 services109 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

150 services91 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

125 services83 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

101 services68 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.

87 services87 patients

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500014

Location1321 Colby AvenueEverett, WA 98201 · Snohomish County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98272 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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.

86.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

90.03

Promoting Interoperability

100

Improvement Activities

Cost

65.53

Reported Quality Measures

e-Prescribing

94%141 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

100%332 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Leave this field empty

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.

A CHANCELLOR PELL PA-C

Physician Assistant