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MATTHEW EDWARD NIELSEN M.D.
NPI 1205987500
Urology in Chapel Hill, NC

Active since January 15, 2007PECOS EnrolledAccepts Medicare Assignment
UNC CHAPEL HILL DEPT OF SURGERY, UROLOGY: CAMPUS BOX 7235, CHAPEL HILL, NC 27599(919) 843-8733(919) 966-0098 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Edward Nielsen M.d. NPPES

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

MATTHEW EDWARD NIELSEN M.D. (NPI 1205987500) is an individual urology provider in Chapel Hill, North Carolina, licensed in North Carolina (2008-00910) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Southeastern Regional Medical Center, and is a graduate of Johns Hopkins University School Of Medicine (2002).

NPPES Registry Identity

NPI1205987500
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMATTHEW EDWARD NIELSENCredential: M.D.
Location AddressUNC CHAPEL HILL DEPT OF SURGERY, UROLOGY: CAMPUS BOX 7235Chapel Hill, NC 27599-0001
Mailing AddressUnc Chapel Hill Dept Of Surgery, Urology: Campus Box 7235Chapel Hill, NC 27599-0001 · (919) 843-8733 · Fax (919) 966-0098
Phone(919) 843-8733
Fax(919) 966-0098
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2002
Enumeration DateJanuary 15, 2007
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1205987500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NC · 2008-00910✔ Licensed in MD · D0064034
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
UNC CHAPEL HILL DEPT OF SURGERY, Chapel Hill, NC 27599
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Other Identifiers 2

OtherD0064034MD · Medical License
Other2008-00910NC · North Carolina Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.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

Matthew Edward 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 ID1456427905
PECOS Enrollment IDI20090219000277
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 9

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.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
76 services55 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.
68 services52 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.
34 services31 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.
30 services21 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
24 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Southeastern Regional Medical Center

Acute Care Hospitals · Lumberton, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340050
Location300 W 27 St PO Box 1408Lumberton, NC 28359 · Robeson County
Emergency services Birthing friendly

Unc Hospitals

Acute Care Hospitals · Chapel Hill, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340061
Location101 Manning DriveChapel Hill, NC 27514 · Orange County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Novant Health New Hanover Regional Medical Center

Acute Care Hospitals · Wilmington, NC
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340141
Location2131 S 17th St Box 9000Wilmington, NC 28402 · New Hanover County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers22 claims3,390 services$1.43 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
10 suppliers87 claims191 services$8.56 avg. paid by Medicare
Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers21 claims660 services$2.98 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
4 suppliers17 claims17 services$5.75 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
3 suppliers17 claims20 services$3.53 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
8 suppliers33 claims960 services$4.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Matthew Nielsen's NPI number?

The NPI number for Matthew Nielsen is 1205987500. It was assigned to this individual provider in the NPPES registry on January 15, 2007.

Where is Matthew Nielsen located?

Matthew Nielsen practices at Unc Chapel Hill Dept Of Surgery Urology: Campus Box 7235, Chapel Hill, NC 27599. The listed phone number is (919) 843-8733.

What is Matthew Nielsen's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Matthew Nielsen enrolled in Medicare?

Yes. Matthew 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 Matthew Nielsen accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Matthew 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 Matthew Nielsen affiliated with any hospitals?

According to CMS data, Matthew Nielsen is affiliated with Southeastern Regional Medical Center, Unc Hospitals, Rex Hospital and Novant Health New Hanover Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Matthew Nielsen was last updated on April 1, 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.