Medicare Enrolled

Dr. Alex Nielson, MD

Family Medicine · Longview, WA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
KIRKPATRICK FAMILY CARE, Longview, WA 98632
3604230390
In practice since 2018 (8 years)
NPI: 1174012355 verify on NPPES ↗
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. Nielson 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 →
Are you Dr. Nielson? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Nielson

Dr. Alex Nielson is a family medicine specialist in Longview, WA, with 8 years of NPI registration. Based on federal Medicare data, Dr. Nielson performed 768 Medicare services across 518 unique beneficiaries.

Between the years covered by Open Payments, Dr. Nielson received a total of $2,296 from 30 pharmaceutical and/or device companies across 101 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. Nielson 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.

✓ 8 years in practice ▲ Top 21% volume in WA $2,296 industry payments

Medicare Practice Summary

Medicare Utilization ↗
768
Medicare services
Top 21% in WA for family medicine
518
Unique beneficiaries
$51
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~96 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.
311 $99 $198
Steroid injection (triamcinolone)
A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered.
144 $1 $2
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
45 $8 $12
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.
43 $62 $163
Complete blood count (CBC) with differential
An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells.
30 $8 $21
Comprehensive metabolic blood panel
A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers.
29 $10 $26
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
29 $10 $36
Lipid panel (cholesterol and triglycerides)
A blood test that measures cholesterol and triglyceride levels.
24 $13 $30
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
20 $95 $271
Joint injection, major joint
Removal of fluid from a large joint and/or injection of medication into the joint space.
19 $53 $134
Thyroid stimulating hormone (TSH) test
A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function.
19 $16 $56
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.
18 $11 $47
Vitamin B-12 level test
A blood test that measures the amount of vitamin B-12 in your body.
13 $15 $53
Manual urinalysis with microscopic examination
A urine test performed manually without automated equipment. The sample is examined under a microscope to check for abnormalities.
12 $4 $17
Vitamin D level test
A blood test to measure the amount of Vitamin D-3 in your body.
12 $29 $93
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 ↗
$2,296
Total received (2019-2024)
Avg $765/year across 3 years
Top 9% in WA for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
30
Companies
101
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
$2,296 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$970
2023
$1,310
2019
$15

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$144
Novo Nordisk Inc
$144
Novartis Pharmaceuticals Corporation
$94
Amgen Inc.
$89
GlaxoSmithKline, LLC.
$59
Esperion Therapeutics, Inc.
$58
ABBVIE INC.
$48
Otsuka America Pharmaceutical, Inc.
$45
Mylan Specialty L.P.
$43
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$41
Kowa Pharmaceuticals America, Inc.
$31
Exact Sciences Corporation
$27
Medtronic, Inc.
$25
Echosens North America, Inc.
$24
Amneal Pharmaceuticals LLC
$23
Boston Scientific Corporation
$22
Bayer Healthcare Pharmaceuticals Inc.
$19
PFIZER INC.
$16
Regeneron Healthcare Solutions, Inc.
$16
Top 3 companies account for 39.5% of 2024 payments
All-time payments by company (2019-2024) ›
AstraZeneca Pharmaceuticals LP
$371
Novartis Pharmaceuticals Corporation
$199
Lilly USA, LLC
$183
Amgen Inc.
$180
Novo Nordisk Inc
$159
Ardelyx, Inc.
$144
Mylan Specialty L.P.
$116
Bayer Healthcare Pharmaceuticals Inc.
$107
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$77
GlaxoSmithKline, LLC.
$76
PFIZER INC.
$75
Xeris Pharmaceuticals, Inc.
$67
Medtronic, Inc.
$64
Esperion Therapeutics, Inc.
$58
ABBVIE INC.
$48
Otsuka America Pharmaceutical, Inc.
$45
Exact Sciences Corporation
$45
Regeneron Healthcare Solutions, Inc.
$38
Kowa Pharmaceuticals America, Inc.
$31
Boehringer Ingelheim Pharmaceuticals, Inc.
$29
Echosens North America, Inc.
$24
Corium, LLC
$23
Amneal Pharmaceuticals LLC
$23
Boston Scientific Corporation
$22
Dexcom, Inc.
$20
Merck Sharp & Dohme Corporation
$15
Janssen Pharmaceuticals, Inc
$14
DJO, LLC
$14
E.R. Squibb & Sons, L.L.C.
$13
Electromed, Inc.
$13
Top 3 companies account for 32.8% of all-time payments
Associated products mentioned in payments ›
AIRSUPRA · AREXVY · Azstarys · BREZTRI · CMF · COMIRNATY · Cologuard Collection Kit · DUPIXENT · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · FARXIGA · FibroScan · GVOKE HYPOPEN · INPEN SMART INSULIN DELIVERY SYSTEM · Kerendia · LEQVIO · LOKELMA · MINIMED 780G · MOUNJARO · NEXLETOL · NEXPLANON · ONGENTYS 50MG CAPSULES 30 · Otezla · PAXLOVID · PULSESELECT · QULIPTA · REXULTI · Rybelsus · SMARTVEST · SPIRIVA RESPIMAT · SPRAVATO · STIOLTO RESPIMAT · TRELEGY ELLIPTA · VRAYLAR · WATCHMAN Access System · Wegovy · XIFAXAN · XPHOZAH 30 MG · YUPELRI · ZORYVE
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. Total industry engagement is in the top 9% for family medicine in WA.

Looking for a family medicine specialist in Longview?
Compare family medicine physicians in the Longview area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Family medicine physicians within 10 mi
57
Per 100K population
51.1
County median income
$72,932
Nearest hospital
PEACEHEALTH ST JOHN MEDICAL CENTER
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. Nielson is a clinical cardiology specialist, with above-average Medicare volume (top 21% in WA), with low-engagement industry engagement in the top 9% of WA peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Nielson experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Nielson performed 311 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. Nielson receive payments from pharmaceutical companies?
Yes. Dr. Nielson received a total of $2,296 from 30 companies across 101 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. Nielson's costs compare to other family medicine physicians in Longview?
Dr. Nielson's average Medicare payment per service is $51. 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. Nielson) 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 →
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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Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →