DR. ERIK CHRISTIAN NILSSEN M.D.
NPI 1457579435
Orthopaedic Surgery in Pensacola, FL

Active since April 23, 2007PECOS EnrolledAccepts Medicare Assignment
79.26/100
CMS Quality Rating
825 E BURGESS RD, PENSACOLA, FL 32504(850) 435-4800(850) 916-3710 Get Directions Write a Review

NPPES record last updated: January 18, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Erik Christian Nilssen M.d. NPPES

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

DR. ERIK CHRISTIAN NILSSEN M.D. (NPI 1457579435) is an individual orthopaedic surgery provider in Pensacola, Florida, licensed in Florida (ME99816) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of University Of South Florida College Of Medicine (2002).

NPPES Registry Identity

NPI1457579435
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ERIK CHRISTIAN NILSSENCredential: M.D.
Location Address825 E BURGESS RDPensacola, FL 32504-7001
Mailing Address1040 Gulf Breeze Pkwy, Suite 200Gulf Breeze, FL 32561-7809 · (850) 916-3700 · Fax (850) 916-3710
Fax(850) 916-3710
Sole ProprietorYes
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 2002
Enumeration DateApril 23, 2007
Last NPPES UpdateJanuary 18, 2017
NPI 1457579435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in FL · ME99816 Licensed in AL · 12345678
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
825 E BURGESS RD, Pensacola, FL 32504

Other Identifiers 4

Other592-05518AL · Blue Cross Blue Shield
Other05120FL · Blue Cross Blue Shield
Medicare PINBP020ZFL
Medicare NSC6245530001FL

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

Dr. Erik Christian Nilssen 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 ID7315039351
PECOS Enrollment IDI20090423000280
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 21

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 foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
434 services263 patients
Ct scan of leg without contrast 73700
A CT scan of the leg is a non-invasive imaging test that uses X-rays to capture detailed images of your leg's bones, muscles, and blood vessels. It doesn't use contrast dye and doesn't cause any pain. It helps in diagnosing injuries or diseases.
404 services202 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.
243 services192 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
216 services158 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.
152 services152 patients
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.
73 services67 patients

Hospital Affiliations CMS Care Compare 4

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Hca Florida West Hospital

Acute Care Hospitals · Pensacola, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100231
Location8383 N Davis HwyPensacola, FL 32514 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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.

79.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.47
Promoting Interoperability96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
3 suppliers47 claims47 services$227.34 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 10

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

Orthopaedic Surgery (Foot and Ankle Surgery)
825 E BURGESS RD
PENSACOLA, FL 32504
Orthopaedic Surgery (Foot and Ankle Surgery)
825 E BURGESS RD
PENSACOLA, FL 32504
Podiatrist (Foot & Ankle Surgery)
825 E BURGESS RD
PENSACOLA, FL 32504
Podiatrist
825 E BURGESS RD
PENSACOLA, FL 32504
Orthopaedic Surgery (Foot and Ankle Surgery)
825 E BURGESS RD
PENSACOLA, FL 32504
Pharmacist
825 E BURGESS RD
PENSACOLA, FL 32504
Orthopaedic Surgery (Foot and Ankle Surgery)
825 E BURGESS RD
PENSACOLA, FL 32504
Pharmacist
825 E BURGESS RD
PENSACOLA, FL 32504

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 Erik Nilssen's NPI number?

The NPI number for Erik Nilssen is 1457579435. It was assigned to this individual provider in the NPPES registry on April 23, 2007.

Where is Erik Nilssen located?

Erik Nilssen practices at 825 E Burgess Rd, Pensacola, FL 32504. The listed phone number is (850) 435-4800.

What is Erik Nilssen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Erik Nilssen enrolled in Medicare?

Yes. Erik Nilssen 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 Erik Nilssen accept?

Health plans from AvMed, Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Erik Nilssen 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 Erik Nilssen affiliated with any hospitals?

According to CMS data, Erik Nilssen is affiliated with Sacred Heart Hospital, Baptist Hospital, Hca Florida West Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Erik Nilssen was last updated on January 18, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.