TYSON NIELSEN MD
NPI 1326435249
Otolaryngology in Boise, ID

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
71.93/100
CMS Quality Rating
900 N LIBERTY ST STE 400, BOISE, ID 83704(208) 367-3320(208) 267-3979 Get Directions Write a Review

NPPES record last updated: January 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2022, Jul 13, 2020, Jul 3, 2020 (3 updates tracked since 2020).

About Tyson Nielsen Md NPPES

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

TYSON NIELSEN MD (NPI 1326435249) is an individual otolaryngology provider in Boise, Idaho, licensed in Idaho (M-15604) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2015).

NPPES Registry Identity

NPI1326435249
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameTYSON NIELSENCredential: MD
Location Address900 N LIBERTY ST STE 400Boise, ID 83704-8707
Mailing Address900 N Liberty St Ste 400Boise, ID 83704-8707 · (208) 367-3320 · Fax (208) 367-3979
Fax(208) 267-3979
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2015
Enumeration DateApril 17, 2015
Last NPPES UpdateJanuary 16, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2022
NPI 1326435249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in ID · M-15604
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.
900 N LIBERTY ST STE 400, Boise, ID 83704

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

Tyson Nielsen 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 ID7012272842
PECOS Enrollment IDI20210618001913
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 8

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.
292 services190 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.
210 services167 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
192 services118 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.
143 services143 patients
Removal or exploration of parathyroid glands 60500
The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.
16 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Regional Medical Center

Acute Care Hospitals · Boise, ID
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130007
Location1055 North Curtis RoadBoise, ID 83706 · Ada County
Emergency services Birthing friendly

Saint Alphonsus Medical Center - Nampa

Acute Care Hospitals · Nampa, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number130013
Location4300 E Flamingo AveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

St Luke's Elmore Medical Center

Critical Access Hospitals · Mountain Home, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131311
Location895 North 6th EastMountain Home, ID 83647 · Elmore County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83704 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

71.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.53
Promoting Interoperability100
Improvement Activities40
Cost10

Other Providers at the Same Location NPPES 14

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

Otolaryngology
900 N LIBERTY ST STE 400
BOISE, ID 83704
Physician Assistant
900 N LIBERTY ST STE 400
BOISE, ID 83704
Audiologist
900 N LIBERTY ST STE 400
BOISE, ID 83704
Audiologist
900 N LIBERTY ST STE 400
BOISE, ID 83704
Otolaryngology
900 N LIBERTY ST STE 400
BOISE, ID 83704
Physician Assistant (Medical)
900 N LIBERTY ST STE 400
BOISE, ID 83704
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
900 N LIBERTY ST STE 400
BOISE, ID 83704
Audiologist
900 N LIBERTY ST STE 400
BOISE, ID 83704

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 Tyson Nielsen's NPI number?

The NPI number for Tyson Nielsen is 1326435249. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Tyson Nielsen located?

Tyson Nielsen practices at 900 N Liberty St Ste 400, Boise, ID 83704. The listed phone number is (208) 367-3320.

What is Tyson Nielsen's specialty?

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

Is Tyson Nielsen enrolled in Medicare?

Yes. Tyson 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 Tyson Nielsen accept?

Health plans from Moda Health Plan, Inc., Providence Health Plan and Select Health list Tyson 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 Tyson Nielsen affiliated with any hospitals?

According to CMS data, Tyson Nielsen is affiliated with St Luke's Regional Medical Center, Saint Alphonsus Regional Medical Center, Saint Alphonsus Medical Center - Nampa, St Luke's Nampa Medical Center and St Luke's Elmore Medical Center.

When was this NPI record last updated?

The NPPES record for Tyson Nielsen was last updated on January 16, 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.