Active NPI 1235442575 Individual Practitioner Male Practitioner

Dr. Matthew John Nielsen , MD

Surgery • Bemidji, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Nielsen, MD is a certified Surgery practicing in Bemidji, MN. With approximately 16 years of clinical experience since graduating from Michigan State University College Of Human Medicine in 2010, Dr. Nielsen delivers high-quality medical care to the local community at 1300 ANNE ST NW.

Dr. Nielsen is affiliated with Sanford Health Of Northern Minnesota and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, drainage of fluid from abdominal cavity using imaging guidance, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 Anne St Nw

Bemidji, MN 566015103

Telephone 2183335000

Fax 2183335360

Associated Practice Facility / Clinic

🏢 Sanford Health Of Northern Minnesota Facility NPI 1801870191

Medicare Profile & Education

Medical School

Michigan State University College Of Human Medicine

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bemidji, MN

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -5.4 yrs vs City Avg

City Avg: 21.4 Yrs

State Avg: 23.0 Yrs

Regional Practice Density

10 Specialists

Practicing in Bemidji, MN (770 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nielsen (16 Years) 16 Yrs

Bemidji Specialty Average (21.4 Years) 21.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	20	$220.47	$62.47
49083 Drainage of fluid from abdominal cavity using imaging guidance	56	11	$899.50	$97.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	18	$216.00	$74.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	36	$1161.43	$116.60
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	32	32	$1041.47	$168.11
32555 Aspiration of fluid from chest cavity using imaging guidance	24	14	$1403.00	$100.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$162.91	$92.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$191.91	$121.57
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$906.00	$90.89
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1386.24	$234.52
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$1037.31	$160.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$391.88	$122.94
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1036.92	$153.18
45380 Biopsy of large bowel using an endoscope	11	11	$1331.36	$139.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	93	31	$222.82	$64.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	23	$201.02	$77.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	37	$384.73	$126.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	16	$112.87	$47.88
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	26	$889.69	$94.91
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	26	26	$1019.77	$175.71
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	25	25	$1016.52	$168.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$190.04	$129.25
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	22	$1139.83	$117.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$143.70	$95.13
45378 Diagnostic exam of large bowel using a flexible endoscope	18	18	$1009.00	$158.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1349.41	$241.99
45380 Biopsy of large bowel using an endoscope	15	15	$1299.93	$114.59
32555 Aspiration of fluid from chest cavity using imaging guidance	15	11	$1403.00	$101.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	67	28	$198.19	$69.50
99213 Established patient office or other outpatient visit, typically 15 minutes	48	20	$215.85	$65.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$184.86	$132.54
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	27	27	$969.81	$179.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	25	$128.74	$96.99
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$1095.19	$111.46
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$978.00	$175.64
99221 Initial hospital inpatient care per day, typically 30 minutes	21	21	$279.29	$96.74
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$968.16	$156.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$376.33	$131.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$107.00	$37.54
45380 Biopsy of large bowel using an endoscope	17	17	$1260.00	$163.55
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1304.24	$247.63
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$823.96	$102.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	58	$172.11	$66.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	30	$194.63	$69.99
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	46	46	$949.13	$178.03
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	38	$1039.95	$102.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$365.82	$130.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	30	$125.88	$96.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$155.00	$134.02
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	18	$106.31	$36.75
45380 Biopsy of large bowel using an endoscope	24	24	$1203.38	$153.27
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1278.48	$249.65
45378 Diagnostic exam of large bowel using a flexible endoscope	21	20	$949.00	$155.60
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$949.20	$182.12
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$789.00	$99.23
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$276.13	$97.91
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	11	11	$1318.73	$188.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$183.45	$81.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	127	40	$189.98	$72.50
99213 Established patient office or other outpatient visit, typically 15 minutes	95	43	$158.57	$51.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	38	$356.15	$136.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	33	$122.49	$78.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$181.88	$128.59
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	26	26	$1273.00	$256.02
11042 Removal of skin and tissue, 20.0 sq cm or less	24	17	$296.98	$60.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$994.30	$120.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$946.00	$186.89
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$921.55	$171.78
45380 Biopsy of large bowel using an endoscope	19	19	$1164.00	$98.59
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$773.00	$97.98
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1287.23	$185.10
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$946.00	$185.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	56	26	$185.66	$71.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$179.74	$126.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	43	$987.00	$118.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	40	39	$347.90	$134.52
99213 Established patient office or other outpatient visit, typically 15 minutes	36	22	$161.92	$50.39
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	16	$100.07	$38.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	27	$142.57	$76.09
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	28	28	$946.00	$178.03
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$773.00	$100.96
32555 Aspiration of fluid from chest cavity using imaging guidance	25	13	$1403.00	$111.84
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$946.00	$174.77
45380 Biopsy of large bowel using an endoscope	22	22	$1164.00	$139.38
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$1273.00	$255.05
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$946.00	$184.77
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	16	16	$1278.00	$185.24
49505 Repair of groin hernia (5 years or older)	11	11	$1389.18	$491.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$158.61	$125.28
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$946.00	$177.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	20	$90.00	$76.77
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	13	$98.37	$38.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$987.00	$119.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	12	$179.78	$70.94
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$946.00	$176.75
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$254.00	$97.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$342.31	$132.90
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	12	12	$946.00	$181.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$174.23	$70.27
99221 Initial hospital inpatient care per day, typically 30 minutes	25	25	$244.96	$97.42
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$985.04	$113.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$119.95	$76.48
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$770.80	$106.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$158.72	$125.41
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$946.00	$167.05
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$946.00	$171.17

Medical Specialties & State Licenses

CMS Verified: 2022-03-25

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 59768

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License ND RL 11620

Hospital & Practice Group Affiliations

Sanford Health Of Northern Minnesota

600 Main Ave S, Baudette, MN 566232855

Phone: 2183335100

Sanford Health Of Northern Minnesota

1300 Anne St Nw, Bemidji, MN 566015103

Phone: 2183335000

Sanford Health Of Northern Minnesota

1611 Anne St Nw, Bemidji, MN 566015114

Phone: 2183335000

Sanford Health Of Northern Minnesota

1233 34th St Nw, Bemidji, MN 566015112

Phone: 2183335522

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Kayla Mcclellan , AuD

Audiologist

NPI 1003392887

Doctor of Audiology

Deborah Steinbar , PA-C

Physician Assistant - Medical

NPI 1013230051

Physician Assistant (Certified)

Dr. Wai Lun Chan , MD

Hospitalist

NPI 1013934017

Doctor of Medicine (M.D.)

Donna Shorter , PA-C

Physician Assistant

NPI 1013938232

Physician Assistant (Certified)

Dr. Steven Quamme , MD

Family Medicine

NPI 1023030665

Doctor of Medicine (M.D.)

Dr. Benjamin Roy , MD

Surgery

NPI 1023076064

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Surgery (License #59768 in MN)

📍

Updated Practice Location November 11, 2019

Registered at 1300 ANNE ST NW, BEMIDJI, MN 566015103 (Tel: 2183335000)

📍

Updated Business Mailing Address November 11, 2019

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074

✅

NPI Profile Active July 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2010

Registered at 501 N COLUMBIA ROAD STOP 9037, UNIV OF NORTH DAKOTA DEPT OF SURGERY, SMHS RM 5107, GRAND FORKS, ND 582039037 (Tel: 7017773067)

📍

Updated Business Mailing Address July 15, 2010

Registered at 501 N COLUMBIA ROAD STOP 9037, UNIV OF NORTH DAKOTA DEPT OF SURGERY, SMHS RM 5107, GRAND FORKS, ND 582039037 (Tel: 7017773067)

👤

Provider Name / Credentials Updated July 15, 2010

Recorded as MATTHEW NIELSEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2010

Surgery (License #RL 11620 in ND)

🟢

Initial NPI Registration & Enumeration July 15, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235442575

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 15, 2010

Last Update: March 25, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.