NICHOLAS LANDAU GIDEONSE MD
NPI 1639184146
Family Medicine in Cottage Grove, OR

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
97.83/100
CMS Quality Rating
1515 VILLAGE DR, COTTAGE GROVE, OR 97424(541) 767-5200(541) 767-5310 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Landau Gideonse Md NPPES

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

NICHOLAS LANDAU GIDEONSE MD (NPI 1639184146) is an individual family medicine provider in Cottage Grove, Oregon, licensed in Oregon (MD17811) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Medical Center - Riverbend, and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1639184146
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS LANDAU GIDEONSECredential: MD
Location Address1515 VILLAGE DRCottage Grove, OR 97424-9700
Mailing Address1400 Se Oak StPortland, OR 97214-1430
Fax(541) 767-5310
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1991
Enumeration DateJuly 31, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1639184146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OR · MD17811
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.
1515 VILLAGE DR, Cottage Grove, OR 97424

Secondary Practice Location 1

Location 13930 SE Division StPortland, OR 97202-1643 · Phone (503) 418-3900

Other Identifiers 1

Medicaid063743OR

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

Nicholas Landau Gideonse 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 ID8123016276
PECOS Enrollment IDI20040505001499
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

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.

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.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Medical Center - Riverbend

Acute Care Hospitals · Springfield, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380102
Location3333 Riverbend DriveSpringfield, OR 97477 · Lane County
Emergency services Birthing friendly

Peacehealth Cottage Grove Community Medical Center

Critical Access Hospitals · Cottage Grove, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381301
Location1515 Village DriveCottage Grove, OR 97424 · Lane County
Emergency services

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381305
Location170 Ford RoadJohn Day, OR 97845 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97424 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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.

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.

97.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.97
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers27 claims33 services$12.29 avg. paid by Medicare
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
3 suppliers30 claims35 services$56.02 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.

Non-Pharmacy Dispensing Site
1515 VILLAGE DR
COTTAGE GROVE, OR 97424
Family Medicine
1515 VILLAGE DR
COTTAGE GROVE, OR 97424
Emergency Medicine
1515 VILLAGE DR
COTTAGE GROVE, OR 97424
Emergency Medicine
1515 VILLAGE DR
COTTAGE GROVE, OR 97424
Emergency Medicine (Emergency Medical Services)
1515 VILLAGE DR
COTTAGE GROVE, OR 97424
Family Medicine
1515 VILLAGE DR
COTTAGE GROVE, OR 97424
Emergency Medicine
1515 VILLAGE DR, EMERGENCY DEPARTMENT
COTTAGE GROVE, OR 97424
Nurse Practitioner (Adult Health)
1515 VILLAGE DR
COTTAGE GROVE, OR 97424

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 Nicholas Gideonse's NPI number?

The NPI number for Nicholas Gideonse is 1639184146. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Nicholas Gideonse located?

Nicholas Gideonse practices at 1515 Village Dr, Cottage Grove, OR 97424. The listed phone number is (541) 767-5200.

What is Nicholas Gideonse's specialty?

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

Is Nicholas Gideonse enrolled in Medicare?

Yes. Nicholas Gideonse 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 Nicholas Gideonse accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Nicholas Gideonse 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 Nicholas Gideonse affiliated with any hospitals?

According to CMS data, Nicholas Gideonse is affiliated with Sacred Heart Medical Center - Riverbend, Peacehealth Cottage Grove Community Medical Center and Blue Mountain Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Gideonse was last updated on October 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.