NIELSEN H. BURNS M.D.
NPI 1528408176
Family Medicine in Pierre, SD

Q: What is Nielsen Burns's NPI number?

The NPI number for Nielsen Burns is 1528408176. It was assigned to this individual provider in the NPPES registry on June 27, 2013.

Q: What is Nielsen Burns's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nielsen Burns was last updated on June 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 27, 2013PECOS EnrolledAccepts Medicare Assignment

801 E SIOUX AVE, PIERRE, SD 57501(605) 224-3177 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nielsen H. Burns M.d. NPPES

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

NIELSEN H. BURNS M.D. (NPI 1528408176) is an individual family medicine provider in Pierre, South Dakota, licensed in South Dakota (10086) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Sioux City.

NPPES Registry Identity

NPI1528408176

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNIELSEN H. BURNSCredential: M.D.

Location Address801 E SIOUX AVEPierre, SD 57501-3323

Mailing Address801 E Sioux AvePierre, SD 57501-3323 · (605) 224-3177

Phone(605) 224-3177

Sole ProprietorNo

Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2012

Enumeration DateJune 27, 2013

Last NPPES UpdateJune 14, 2021

NPPES CertifiedJune 14, 2021

✔ NPI 1528408176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in SD · 10086

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

801 E SIOUX AVE, Pierre, SD 57501

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Secondary Practice Location 1

Location 12501 Pierce StSioux City, IA 51104-3725 · Phone (712) 294-5000 · Fax (712) 294-5091

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nielsen H. Burns 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 ID3971747536

PECOS Enrollment IDI20161025001920

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.

Medicare Billing Reassignments

Medicare enrollment records show Nielsen Burns reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Avera St Marys

Same address

Emergency Medicine

801 E SIOUX AVE
Pierre, SD 57501

Reassigned Medicare billing, South Dakota enrollment
197 clinicians in this Medicare group

NPI 1073305496 (605) 224-3100

Avera Gettysburg

49 mi

Critical Access

606 E GARFIELD AVE
Gettysburg, SD 57442

Reassigned Medicare billing, South Dakota enrollment
39 clinicians in this Medicare group

NPI 1003887266 (605) 765-2480

Winner Regional Healthcare Center

73 mi

Critical Access

745 E 8TH ST
Winner, SD 57580

Reassigned Medicare billing, South Dakota enrollment
41 clinicians in this Medicare group

NPI 1538233549 (605) 842-7100

City Of Brookings

159 mi

Rural Health

104 W BIRCH
Arlington, SD 57212

Reassigned Medicare billing, South Dakota enrollment
156 clinicians in this Medicare group

NPI 1902123581 (605) 983-3283

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

125 services118 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

118 services106 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

40 services39 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Usd Medical Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430027

Location1305 W 18th St Post Office Box 5039Sioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Winner Regional Healthcare Center - Cah

Critical Access Hospitals · Winner, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431334

Location745 East 8th StreetWinner, SD 57580 · Tripp County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57501 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

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

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$119.41 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.

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