Medicare Enrolled
Dr. Paul Nielsen, MD, MS
Family Medicine · Wooster, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Nielsen from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Nielsen
Dr. Paul Nielsen is a family medicine specialist in Wooster, OH, with 18 years of NPI registration. Based on federal Medicare data, Dr. Nielsen performed 1,616 Medicare services across 958 unique beneficiaries.
Between the years covered by Open Payments, Dr. Nielsen received a total of $3,258 from 47 pharmaceutical and/or device companies across 197 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Nielsen is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 18 years in practice
▲ Top 10% volume in OH
$3,258 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,616
Medicare services
Top 10% in OH for family medicine
958
Unique beneficiaries
$36
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~90 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
588 | $45 | $158 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
167 | $39 | $106 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
149 | $1 | $3 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
115 | $73 | $135 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
111 | $10 | $20 |
| Influenza vaccine, quadrivalent, 0.5 ml dosage | 78 | $20 | $25 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
78 | $26 | $27 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
66 | $51 | $170 |
| Annual depression screening | 61 | $17 | $26 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
28 | $2 | $5 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
27 | $31 | $122 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
25 | $62 | $239 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
24 | $35 | $28 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
22 | $10 | $34 |
| Initial hospital admission, moderate complexity Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter. |
22 | $99 | $238 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
19 | $7 | $36 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
12 | $44 | $89 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
12 | $13 | $25 |
| Nursing facility visit, high complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves a high level of medical decision making and takes at least 45 minutes. |
12 | $110 | $201 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$3,258
Total received (2018-2024)
Avg $465/year across 7 years
Top 18% in OH for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
47
Companies
197
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$3,258 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$648
2023
$577
2022
$403
2021
$451
2020
$383
2019
$341
2018
$455
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
ABBVIE INC.
$218
Xeris Pharmaceuticals, Inc.
$117
Novo Nordisk Inc
$46
PFIZER INC.
$37
Edwards Lifesciences Corporation
$33
AIMMUNE THERAPEUTICS, INC.
$30
Corium, LLC
$27
Corcept Therapeutics
$24
Boehringer Ingelheim Pharmaceuticals, Inc.
$20
Phathom Pharmaceuticals, Inc.
$17
Merck Sharp & Dohme LLC
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$16
Bayer Healthcare Pharmaceuticals Inc.
$15
AstraZeneca Pharmaceuticals LP
$15
GlaxoSmithKline, LLC.
$14
Top 3 companies account for 58.9% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$584
GlaxoSmithKline, LLC.
$284
Boehringer Ingelheim Pharmaceuticals, Inc.
$188
AbbVie Inc.
$181
Lilly USA, LLC
$156
Novo Nordisk Inc
$146
Amarin Pharma Inc.
$127
Xeris Pharmaceuticals, Inc.
$117
PFIZER INC.
$115
Bayer HealthCare Pharmaceuticals Inc.
$103
Novartis Pharmaceuticals Corporation
$103
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$82
Merck Sharp & Dohme Corporation
$74
ACADIA Pharmaceuticals Inc
$68
Janssen Pharmaceuticals, Inc
$56
Allergan Inc.
$47
Merck Sharp & Dohme LLC
$47
Bayer Healthcare Pharmaceuticals Inc.
$47
Amgen Inc.
$45
Sunovion Pharmaceuticals Inc.
$45
Teva Pharmaceuticals USA, Inc.
$45
AstraZeneca Pharmaceuticals LP
$41
Astellas Pharma US Inc
$41
Alkermes, Inc.
$33
Edwards Lifesciences Corporation
$33
Radius Health, Inc.
$32
Avanir Pharmaceuticals, Inc.
$32
Kowa Pharmaceuticals America, Inc.
$31
AIMMUNE THERAPEUTICS, INC.
$30
Cranial Technologies, Inc
$28
Corium, LLC
$27
SANOFI-AVENTIS U.S. LLC
$27
Corcept Therapeutics
$24
Sumitomo Pharma America, Inc.
$23
Nestle HealthCare Nutrition Inc.
$21
Shire North American Group Inc
$17
Phathom Pharmaceuticals, Inc.
$17
Exact Sciences Corporation
$17
NESTLE HEALTHCARE NUTRITION INC.
$16
IDORSIA PHARMACEUTICALS US INC
$16
DEXCOM, INC.
$15
Genentech USA, Inc.
$13
Allergan, Inc.
$13
UROVANT SCIENCES INC
$13
Biohaven Pharmaceuticals, Inc.
$12
Takeda Pharmaceuticals U.S.A., Inc.
$12
FIDIA PHARMA USA INC.
$10
Top 3 companies account for 32.4% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AUSTEDO · Azstarys · BAQSIMI · BEXSERO · BREZTRI · CHANTIX · CREON · CYCLOSET · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Doc Band · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · GARDASIL · GARDASIL 9 · GEMTESA · GVOKE HYPOPEN · Hymovis · JANUVIA · JARDIANCE · KEVEYIS · Kerendia · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · Livalo · MOUNJARO · MYDAYIS · MYRBETRIQ · Myrbetriq · NUEDEXTA · NUPLAZID · NURTEC ODT · OFEV · Ozempic · PREVNAR - 13 · Prolia · QULIPTA · QUVIVIQ · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · TRELEGY ELLIPTA · TRULANCE · TRULICITY · Tresiba · Trintellix · Tymlos · UBRELVY · UTIBRON NEOHALER · VIBERZI · VIVITROL · VOQUEZNA · VOWST · VRAYLAR · Vascepa · Victoza · Vivitrol · Wegovy · XARELTO · XIFAXAN · Xofluza · Xultophy 100/3.6 · ZENPEP
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Family medicine physicians within 10 mi
144
Per 100K population
123.5
County median income
$71,769
Nearest hospital
WOOSTER COMMUNITY HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Nielsen is a clinical cardiology specialist, with above-average Medicare volume (top 10% in OH), with low-engagement industry engagement in the top 18% of OH peers, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Nielsen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nielsen performed 588 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Nielsen receive payments from pharmaceutical companies?
Yes. Dr. Nielsen received a total of $3,258 from 47 companies across 197 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Nielsen's costs compare to other family medicine physicians in Wooster?
Dr. Nielsen's average Medicare payment per service is $36. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Nielsen) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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