Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720214935 Individual Practitioner Male Practitioner

Dr. Dallas Gregory Hansen , MD

Surgery • Nellis Afb, NV

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Dallas Hansen, MD is a certified Surgery practicing in Nellis Afb, NV. With approximately 12 years of clinical experience since graduating from Wright State University Boonshoft School Of Medicine in 2014, Dr. Hansen delivers high-quality medical care to the local community at 4700 LAS VEGAS BLVD N.

Dr. Hansen is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532273
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Nellis Afb, NV

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -0.9 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 28.7 Yrs
Regional Practice Density
21 Specialists

Practicing in Nellis Afb, NV (248 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
48.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hansen (12 Years) 12 Yrs
Nellis Afb Specialty Average (12.9 Years) 12.9 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes
48 35 $104.00 $46.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
29 22 $128.00 $72.84

Medical Specialties & State Licenses

CMS Verified: 2026-07-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35132197

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 - Trauma Surgery

NUCC Taxonomy Code: 2086S0127X

State License OH 35132197

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Surgery

NUCC Taxonomy Code: 208600000X

State License NV 29543

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 VA 0101248965

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.

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Secondary Practice Locations

3533 Southern Blvd Ste 2100

Kettering, OH 454291267

Phone: 9373958556

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Doctor of Medicine (M.D.)

Dr. Edward Kempton , MD

Emergency Medicine

NPI 1003442971

Doctor of Medicine (M.D.)

Dr. Aaron Wolbrueck , DO

Internal Medicine

NPI 1003444977

Doctor of Osteopathic Medicine (D.O.)

Dr. Eileen Ly , MD

Family Medicine

NPI 1013502780

Doctor of Medicine (M.D.)

Dr. Brannon Inman , MD

Internal Medicine - Critical Care Medicine

NPI 1013543248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location July 16, 2026

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

📍
Updated Business Mailing Address July 16, 2026

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532273)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2026

Surgery (License #35132197 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2022

Surgery (License #0101248965 in VA)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2021

Surgery (License #35132197 in OH)

📍
Updated Practice Location March 12, 2018

Registered at 234 GOODMAN ST, CINCINNATI, OH 452192364 (Tel: 9376796276)

📍
Updated Business Mailing Address March 12, 2018

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855506)

NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 14, 2017

Registered at PO BOX 636256, CINCINNATI, OH 454636256 (Tel: 5135855506)

📍
Updated Practice Location August 14, 2017

Registered at 1487 FARRINGTON DR, KETTERING, OH 454201380 (Tel: 9376796276)

👤
Provider Name / Credentials Updated August 14, 2017

Recorded as DALLAS HANSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Surgery (License #0101248965 in VA)

NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2014

Registered at 1487 FARRINGTON DR, KETTERING, OH 454201380 (Tel: 9376796276)

📍
Updated Business Mailing Address January 03, 2014

Registered at 1487 FARRINGTON DR, KETTERING, OH 454201380 (Tel: 9376796276)

👤
Provider Name / Credentials Updated January 03, 2014

Recorded as DALLAS HANSEN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Surgery (License #0101248965 in VA)

🟢
Initial NPI Registration & Enumeration June 02, 2009

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: 1720214935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2009
Last Update: July 16, 2026
Sole Proprietor: Yes

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Phone: 7026532273

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.