DR. MATTHEW JOHN NIELSEN M.D.
NPI 1235442575
Surgery in Bemidji, MN

Q: What is Matthew Nielsen's NPI number?

The NPI number for Matthew Nielsen is 1235442575. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Q: What is Matthew Nielsen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Nielsen was last updated on March 25, 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.

Active since July 15, 2010PECOS EnrolledAccepts Medicare Assignment

82.64/100

CMS Quality Rating

1300 ANNE ST NW, BEMIDJI, MN 56601(218) 333-5000(218) 333-5360 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 14, 2021, Nov 11, 2019 (2 updates tracked since 2019).

On this page

About Dr. Matthew John Nielsen M.d. NPPES

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

DR. MATTHEW JOHN NIELSEN M.D. (NPI 1235442575) is an individual surgery provider in Bemidji, Minnesota, licensed in Minnesota (59768) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2010).

NPPES Registry Identity

NPI1235442575

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. MATTHEW JOHN NIELSENCredential: M.D.

Location Address1300 ANNE ST NWBemidji, MN 56601-5103

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(218) 333-5000

Fax(218) 333-5360

Sole ProprietorNo

Medical School CMSMichigan State University College Of Human MedicineGraduated 2010

Enumeration DateJuly 15, 2010

Last NPPES UpdateMarch 25, 20222 updates tracked since enumeration

NPPES CertifiedMarch 25, 2022

✔ NPI 1235442575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in MN · 59768✔ Licensed in ND · RL 11620

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1300 ANNE ST NW, Bemidji, MN 56601

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan, Security 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

Dr. Matthew John 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 ID547577751

PECOS Enrollment IDI20150921003276

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 14

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.

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.

87 services20 patients

Drainage of fluid from abdominal cavity using imaging guidance 49083

This procedure involves removing excess fluid from your abdominal cavity, which can relieve discomfort. A specialist uses imaging technology to guide a thin needle into the right spot. The fluid is then drained out safely.

56 services11 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services18 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

37 services36 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

32 services32 patients

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

24 services14 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.

23 services22 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.

22 services22 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

17 services17 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

17 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

16 services16 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

12 services12 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240100

Location1300 Anne St NWBemidji, MN 56601 · Beltrami County

Emergency services Birthing friendly

Lakewood Health Center

Critical Access Hospitals · Baudette, MN

OwnershipVoluntary non-profit - Church

CMS Certification Number241301

Location600 Main Ave SBaudette, MN 56623 · Lake Of Woods County

Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56601 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

82.64/100

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

Scored as part of a group practice

Quality

88.21

Promoting Interoperability

Improvement Activities

Cost

51.14

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.

COLE HARTJE PA-C

Physician Assistant

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 368-6224

DONNA MARIE SHORTER PA-C

Physician Assistant

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-5000

NATALEE SCHULTZ CRNA

Nurse Anesthetist, Certified Registered

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 751-5430

MATTHEW AARON HALLANGER D.O.

Emergency Medicine

1300 ANNE ST NW, SANFORD BEMIDJI MEDICAL CENTER
BEMIDJI, MN 56601

Beltrami County (218) 333-5519

JOHNNA NYNAS M.D.

Obstetrics & Gynecology

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-5000

MICHAEL ALAN ERICKSON CRNA

Nurse Anesthetist, Certified Registered

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 751-5430

JOLYN SEITZ M.D.

Obstetrics & Gynecology (Obstetrics)

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 751-5430

JAMES BRAUNWARTH M.D.

Hospitalist

1300 ANNE ST NW
BEMIDJI, MN 56601

Beltrami County (218) 333-5000

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 1235442575. It was assigned to this individual provider in the NPPES registry on July 15, 2010.

Where is Matthew Nielsen located?

Matthew Nielsen practices at 1300 Anne St NW, Bemidji, MN 56601. The listed phone number is (218) 333-5000.

What is Matthew Nielsen's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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 Medica, Sanford Health Plan and Security Health Plan 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 Sanford Bemidji Medical Center, Lakewood Health Center and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Matthew Nielsen was last updated on March 25, 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.