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DR. DAVID ALAN NIELSEN D.O.
NPI 1922080498
Orthopaedic Surgery in Charlottesville, VA

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
183 SPOTNAP RD, SUITE C, CHARLOTTESVILLE, VA 22911(434) 244-8412(434) 244-8415 Get Directions Write a Review

NPPES record last updated: June 22, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. David Alan Nielsen D.o. NPPES

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

DR. DAVID ALAN NIELSEN D.O. (NPI 1922080498) is an individual orthopaedic surgery provider in Charlottesville, Virginia, licensed in Virginia (0102201260) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Sentara Martha Jefferson Hospital, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1996).

NPPES Registry Identity

NPI1922080498
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. DAVID ALAN NIELSENCredential: D.O.
Location Address183 SPOTNAP RD, SUITE CCharlottesville, VA 22911-8812
Mailing Address183 Spotnap Rd, Suite CCharlottesville, VA 22911-8812 · (434) 244-8412 · Fax (434) 244-8415
Phone(434) 244-8412
Fax(434) 244-8415
Sole ProprietorYes
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1996
Enumeration DateNovember 18, 2005
Last NPPES UpdateJune 22, 2011
✔ NPI 1922080498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in VA · 0102201260
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.
183 SPOTNAP RD, Charlottesville, VA 22911
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Other Identifiers 10

Other020577234VA · Champus/tricare
Other200044354Palmetto Gba Railroad
Other020577234VA · First Health Insurance Co
Medicare PIN200001189
Other020577234VA · Phcs Insurance Co
Medicare UPINH12223VA
Other020577234VA · Va Health Network Ins Co
Other184497VA · Southern Health Ins Co
Other6270745VA · Cigna Insurance Company
Other276483VA · Anthem

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. David Alan Nielsen D.o. 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 ID6204989916
PECOS Enrollment IDI20110124000897, I20171108001783
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 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.
71 services57 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.
30 services27 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
25 services18 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
19 services14 patients
X-ray of shoulder blade 73010
An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.
19 services15 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Reported Quality Measures

Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
69%119 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
92%318 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
44%685 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%685 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%685 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
30%685 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Knee orthosis (ko), single upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf L1851
DME-Orthotic Devices · category DF011N
1 supplier13 claims14 services$588.85 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 4

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

DR. MICHAEL JOHN KOVAC JR. M.D.
Orthopaedic Surgery
183 SPOTNAP RD, SUITE C
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-8412
CHARLOTTESVILLE ORTHOPAEDIC CENTER, PLC
Orthopaedic Surgery
183 SPOTNAP RD, SUITE C
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-8412
MRS. AMY MICHELLE YEHNERT FNP
Nurse Practitioner (Family)
183 SPOTNAP RD, SUITE A
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 951-2191
CHARLOTTESVILLE ENDOCRINE CONSULTATION & TREATMENT SERVICES, PLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
183 SPOTNAP RD, SUITE A
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 817-1140

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 David Nielsen's NPI number?

The NPI number for David Nielsen is 1922080498. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is David Nielsen located?

David Nielsen practices at 183 Spotnap Rd Suite C, Charlottesville, VA 22911. The listed phone number is (434) 244-8412.

What is David Nielsen's specialty?

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

Is David Nielsen enrolled in Medicare?

Yes. David 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.

Is David Nielsen affiliated with any hospitals?

According to CMS data, David Nielsen is affiliated with Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for David Nielsen was last updated on June 22, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.