SKYLER W NIELSEN D.O.
NPI 1285050575
Otolaryngology in Gilbert, AZ

Active since March 11, 2014PECOS EnrolledAccepts Medicare Assignment
69.24/100
CMS Quality Rating
726 N GREENFIELD RD STE 101, GILBERT, AZ 85234(480) 833-8620(480) 969-3952 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 2, 2019, May 20, 2019, Nov 23, 2015 (3 updates tracked since 2015).

About Skyler W Nielsen D.o. NPPES

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

SKYLER W NIELSEN D.O. (NPI 1285050575) is an individual otolaryngology provider in Gilbert, Arizona, licensed in Nebraska (1418) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Arizona College Of Osteopathic Medicine Mid Western University (2014).

NPPES Registry Identity

NPI1285050575
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSKYLER W NIELSENCredential: D.O.
Location Address726 N GREENFIELD RD STE 101Gilbert, AZ 85234-5062
Mailing Address9097 E Desert Cove Ave Ste 200Scottsdale, AZ 85260-6280 · (480) 614-5406
Fax(480) 969-3952
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2014
Enumeration DateMarch 11, 2014
Last NPPES UpdateApril 21, 20233 updates tracked since enumeration
NPPES CertifiedApril 21, 2023
NPI 1285050575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NE · 1418
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
726 N GREENFIELD RD STE 101, Gilbert, AZ 85234

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

Skyler W Nielsen D.o. 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 ID2860717865
PECOS Enrollment IDI20230426000677
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 15

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.
333 services230 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
263 services263 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
112 services85 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.
92 services92 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.
89 services77 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
83 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85234 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

69.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability99
Improvement Activities40
Cost28.43

Other Providers at the Same Location NPPES 4

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

Naturopath
726 N GREENFIELD RD STE 101
GILBERT, AZ 85234
Naturopath
726 N GREENFIELD RD STE 101
GILBERT, AZ 85234
Naturopath
726 N GREENFIELD RD STE 101
GILBERT, AZ 85234
Otolaryngology
726 N GREENFIELD RD STE 101
GILBERT, AZ 85234

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 Skyler Nielsen's NPI number?

The NPI number for Skyler Nielsen is 1285050575. It was assigned to this individual provider in the NPPES registry on March 11, 2014.

Where is Skyler Nielsen located?

Skyler Nielsen practices at 726 N Greenfield Rd Ste 101, Gilbert, AZ 85234. The listed phone number is (480) 833-8620.

What is Skyler Nielsen's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Skyler Nielsen enrolled in Medicare?

Yes. Skyler 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 Skyler Nielsen accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross and Blue Shield of Texas list Skyler 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.

When was this NPI record last updated?

The NPPES record for Skyler Nielsen was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.