DONALD EDWARD NIES MD
NPI 1265480321
Radiology - Diagnostic Radiology in Jacksonville, FL

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
76.98/100
CMS Quality Rating
1800 BARRS ST, DEPARTMENT OF RADIOLOGY, JACKSONVILLE, FL 32204(904) 388-1562(904) 388-1841 Get Directions Write a Review

NPPES record last updated: August 17, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Edward Nies Md NPPES

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

DONALD EDWARD NIES MD (NPI 1265480321) is an individual diagnostic radiology provider in Jacksonville, Florida, licensed in Florida (ME95173) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1995).

NPPES Registry Identity

NPI1265480321
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDONALD EDWARD NIESCredential: MD
Location Address1800 BARRS ST, DEPARTMENT OF RADIOLOGYJacksonville, FL 32204-4704
Mailing AddressPo Box 7426Jacksonville, FL 32238-0426 · (904) 388-1562 · Fax (904) 388-1841
Fax(904) 388-1841
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1995
Enumeration DateMay 4, 2006
Last NPPES UpdateAugust 17, 2007
NPI 1265480321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in FL · ME95173
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1800 BARRS ST, Jacksonville, FL 32204

Other Identifiers 1

Medicare UPINH20371FL

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

Donald Edward Nies Md 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 ID6406881135
PECOS Enrollment IDI20070207000660, I20240913002373
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 66

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,248 services1,206 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
405 services400 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
237 services235 patients
Ct scan of abdomen and pelvis without contrast 74176
A CT scan of the abdomen and pelvis is a non-invasive medical test. It uses special X-ray equipment to create detailed images of your abdominal and pelvic areas. This helps doctors examine organs, tissues, and vessels. No contrast dye is used in this procedure.
204 services203 patients
Ct scan of upper spine without contrast 72125
A CT scan of the upper spine without contrast is a non-invasive imaging test that uses X-rays to capture detailed images of your neck and upper back. It helps in identifying issues like fractures, tumors, or infections. No dye (contrast) is used in this scan.
203 services200 patients
Ct scan of blood vessels of neck with contrast 70498
A CT scan of the neck's blood vessels with contrast is a diagnostic procedure. It uses X-rays and a special dye to create detailed images of your neck's blood vessels. This helps doctors detect issues such as blockages or abnormalities.
135 services135 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

76.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.91
Improvement Activities40

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,473 patients
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.

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.

Radiology (Diagnostic Radiology)
1800 BARRS ST, RADIOLOGY DEPT
JACKSONVILLE, FL 32204
Pediatrics (Neonatal-Perinatal Medicine)
1800 BARRS ST, ST VINCENT'S MEDICAL CENTER
JACKSONVILLE, FL 32204
Anesthesiology
1800 BARRS ST
JACKSONVILLE, FL 32204
Anesthesiology
1800 BARRS ST
JACKSONVILLE, FL 32204
Radiology (Diagnostic Radiology)
1800 BARRS ST
JACKSONVILLE, FL 32204
Internal Medicine
1800 BARRS ST
JACKSONVILLE, FL 32204
Emergency Medicine
1800 BARRS ST
JACKSONVILLE, FL 32204
Nurse Anesthetist, Certified Registered
1800 BARRS ST
JACKSONVILLE, FL 32204

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 Donald Nies's NPI number?

The NPI number for Donald Nies is 1265480321. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Donald Nies located?

Donald Nies practices at 1800 Barrs St Department Of Radiology, Jacksonville, FL 32204. The listed phone number is (904) 388-1562.

What is Donald Nies's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Donald Nies enrolled in Medicare?

Yes. Donald Nies 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 Donald Nies accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Donald Nies 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 Donald Nies was last updated on August 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.