BYRON S NIELSEN M.D.
NPI 1316157928
Internal Medicine - Nephrology in Yankton, SD

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
1104 W 8TH ST, YANKTON, SD 57078(605) 665-7841(605) 665-0546 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Byron S Nielsen M.d. NPPES

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

BYRON S NIELSEN M.D. (NPI 1316157928) is an individual nephrology provider in Yankton, South Dakota, licensed in South Dakota (7990) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Faith Regional Health Services, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2005).

NPPES Registry Identity

NPI1316157928
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameBYRON S NIELSENCredential: M.D.
Location Address1104 W 8TH STYankton, SD 57078-3306
Mailing Address1104 W 8th StYankton, SD 57078-3306 · (605) 665-7841 · Fax (605) 665-0546
Fax(605) 665-0546
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2005
Enumeration DateMay 23, 2007
Last NPPES UpdateJune 26, 2020
NPPES CertifiedJune 26, 2020
NPI 1316157928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in SD · 7990
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1104 W 8TH ST, Yankton, SD 57078

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

Byron S 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 ID3870664469
PECOS Enrollment IDI20110810000438, I20130613000738, I20230419001530
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 62

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, ferric carboxymaltose, 1 mg J1439
Ferric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
42,750 services27 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
2,650 services24 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
995 services468 patients
Calcium level, total 82310
A total calcium level test measures the amount of calcium in your blood. Calcium is essential for body functions like bone formation, nerve signal transmission, and muscle contraction. Abnormal levels may indicate conditions like bone disease or kidney disorders.
966 services467 patients
Blood creatinine level 82565
A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
961 services467 patients
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051
A blood test panel for electrolytes checks the levels of sodium, potassium, chloride, and carbon dioxide in your blood. These elements are crucial for body functions such as maintaining fluid balance, muscle contractions, and heart rhythm. The test helps identify any imbalances.
960 services467 patients

Hospital Affiliations CMS Care Compare 5

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

Faith Regional Health Services

Acute Care Hospitals · Norfolk, NE
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number280125
Location2700 West Norfolk AveNorfolk, NE 68701 · Madison County
Emergency services Birthing friendly

Avera St Anthony's Hospital

Critical Access Hospitals · O' Neill, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281329
Location300 North 2nd StO' Neill, NE 68763 · Holt County
Emergency services

Chi Health Plainview Hospital

Critical Access Hospitals · Plainview, NE
OwnershipVoluntary non-profit - Church
CMS Certification Number281346
LocationP O Box 489, 704 North Third StPlainview, NE 68769 · Pierce County
Emergency services

Avera Sacred Heart Hospital

Acute Care Hospitals · Yankton, SD
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430012
Location501 Summit StYankton, SD 57078 · Yankton County
Emergency services Birthing friendly

Wagner Community Memorial Hospital - Cah

Critical Access Hospitals · Wagner, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431315
Location513 3rd St SWWagner, SD 57380 · Charles Mix County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57078 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
$126.78 typical visit price
range $55.52 – $167.23
Typical copayment $31.69 (range $13.88 – $41.80)
Most-billed visit code 99204
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
Most-billed visit code 99214
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 4

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$47.69 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers38 claims1,905 services$0.30 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
5 suppliers48 claims48 services$18.50 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers32 claims32 services$12.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Clinic/Center (Ambulatory Surgical)
1104 W 8TH ST
YANKTON, SD 57078
Pediatrics
1104 W 8TH ST
YANKTON, SD 57078
Nurse Practitioner (Family)
1104 W 8TH ST
YANKTON, SD 57078
Physician Assistant
1104 W 8TH ST
YANKTON, SD 57078
Pediatrics
1104 W 8TH ST
YANKTON, SD 57078
Family Medicine
1104 W 8TH ST
YANKTON, SD 57078
Physician Assistant
1104 W 8TH ST
YANKTON, SD 57078
Orthopaedic Surgery
1104 W 8TH ST
YANKTON, SD 57078

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 Byron Nielsen's NPI number?

The NPI number for Byron Nielsen is 1316157928. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Byron Nielsen located?

Byron Nielsen practices at 1104 W 8th St, Yankton, SD 57078. The listed phone number is (605) 665-7841.

What is Byron Nielsen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Byron Nielsen enrolled in Medicare?

Yes. Byron 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 Byron Nielsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Avera Health Plans and 4 other insurers list Byron 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 Byron Nielsen affiliated with any hospitals?

According to CMS data, Byron Nielsen is affiliated with Faith Regional Health Services, Avera St Anthony's Hospital, Chi Health Plainview Hospital, Avera Sacred Heart Hospital and Wagner Community Memorial Hospital - Cah.

When was this NPI record last updated?

The NPPES record for Byron Nielsen was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.