IndividualActiveAccepts Medicare

David Nielson, PA-C

NPI 1124393939 · Physician Assistant · Boise, ID

Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1124393939
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Credential: PA-C
Sex: Male
Sole proprietor: No
License: PA-1183 (ID)

Specialties & taxonomies

Physician AssistantPrimary363A00000XLicense PA-1183 (ID)
Physician Assistants & Advanced Practice Nursing Providers
Surgical Physician Assistant363AS0400XLicense PA-1183 (ID)
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Established profile(68/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
14 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
3 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
141 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Fusion of Additional Segment of Spine22614	36	$46
Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853	20	$29
New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204	16	$120
Fusion of Spine in Lower Back22612	15	$182
Placement of Stabilizing Device to Back of 1 Spine Bone in Neck22840	14	$82
Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047

What this provider prescribes (Medicare Part D)

Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.

Drug	Part D claims (2024)	Beneficiaries
Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen	88	58
Methylprednisolone	54	54
Tramadol Hcl	54	37
Cyclobenzaprine Hcl	39	28
Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen	37	26
Alprazolam	18	18

Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they include cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.

Practice location

190 E Bannock St Fl 10

Boise, ID 83712-6241

Phone: (208) 381-5500

Fax: (208) 381-2555

Street-level locationGet directions

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Mailing address

190 E Bannock St