2026 NPPES data Emergency Medicine Physician NPI 1205806460 M.D.
Verify on CMS →

JAMES NIELSEN, M.D.

Emergency Medicine Physician in MITCHELL, South Dakota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 112 beneficiaries · Emergency Medicine Physician avg: 352
What the federal data reveals: JAMES NIELSEN, M.D. is a Emergency Medicine Physician ([object Object]) practicing in MITCHELL, South Dakota with a Medicare Part D prescribing footprint of 1K claims across 112 beneficiaries .

What stands out: JAMES NIELSEN, M.D. filed 1,283 Medicare Part D claims in 2023 across MITCHELL, South Dakota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

JAMES NIELSEN, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

JAMES NIELSEN, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/23/2006

NPI 1205806460

Primary specialty

Emergency Medicine Physician

High-volume

64,398 US NPIs in this specialty

Medicare Part D claims

1,283 264% vs specialty avg

2023 prescription claims

Specialty avg: 352

Specialty distribution in South Dakota

How Emergency Medicine Physician compares to other specialties among South Dakota providers

South Dakota providers

Emergency Medicine Physician share within South Dakota

1. Emergency Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medicine Physician share within South Dakota

Specialty board-certification context

Estimated specialty board-certified rate — Emergency Medicine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Emergency Medicine Physician ABMS/AOA estimate

Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Emergency Medicine Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JAMES NIELSEN, M.D. is a Emergency Medicine Physician provider practicing in MITCHELL, South Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1205806460. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JAMES NIELSEN, M.D. appears in the CMS NPPES registry as a Emergency Medicine Physician provider holding M.D. credentials at 525 N FOSTER ST, MITCHELL, SD, 57301, with a listed phone of (605) 995-2000. NPI 1205806460 was issued on 01/23/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NIELSEN most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,283 prescription claims written by this provider, covering 112 Medicare beneficiaries and totaling roughly $86K in drug spend, with an opioid prescribing rate of 1.0%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Emergency Medicine Physician is a high-volume specialty nationwide, with 64,398 enrolled providers across 56 states and an average of 352 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

525 N FOSTER ST
MITCHELL, SD 57301

Provider Details

NPI 1205806460
Specialty Emergency Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 01/23/2006

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,283
Total Claims
$86K
Total Drug Cost
112
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,218
Total Day Supply
64,376
Generic Drug Cost
$24K
Opioid Claims
13 (1.0% rate)
Antibiotic Claims
17

Patient Demographics

Average Patient Age
78.2 years
Avg HCC Risk Score
1.44
Gender Split
40% female / 60% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Levothyroxine Sodium
94
Lisinopril
54
Atorvastatin Calcium
52
Metformin Hcl
43
Pantoprazole Sodium
41
Furosemide
40
Eliquis
Apixaban
35
Potassium Chloride
31
Simvastatin
31
Clopidogrel
Clopidogrel Bisulfate
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Emergency Medicine Physician Overview

How JAMES NIELSEN, M.D. fits within the Emergency Medicine Physician landscape nationally.

64,398
Emergency Medicine Physician Providers in US
56
States with Emergency Medicine Physician
352
Avg Claims per Provider

JAMES NIELSEN, M.D.'s 1,283 claims are above the specialty average of 352.

Nearby Emergency Medicine Physician Providers in South Dakota

Other clinicians with the same primary specialty enrolled in South Dakota, drawn from the same CMS NPPES roster as NIELSEN.

Compare Emergency Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES NIELSEN, M.D.'s specialty?
JAMES NIELSEN, M.D. specializes in Emergency Medicine Physician and practices in MITCHELL, South Dakota. Credentials: M.D..
How much does JAMES NIELSEN, M.D. prescribe under Medicare Part D?
In 2023, JAMES NIELSEN, M.D. wrote 1,283 Medicare Part D claims totaling $86K in drug costs for 112 beneficiaries.
Where is JAMES NIELSEN, M.D. located?
JAMES NIELSEN, M.D. is located at 525 N FOSTER ST, MITCHELL, SD, 57301. Phone: (605) 995-2000.
What is JAMES NIELSEN, M.D.'s NPI number?
JAMES NIELSEN, M.D.'s National Provider Identifier (NPI) is 1205806460, issued on 01/23/2006.
Does JAMES NIELSEN, M.D. prescribe opioids?
Yes, JAMES NIELSEN, M.D. had 13 opioid claims in 2023 with an opioid prescribing rate of 1.0%.
How many Emergency Medicine Physician providers are there in the US?
There are 64,398 Emergency Medicine Physician providers across 56 states in the US. The average Emergency Medicine Physician provider writes 352 Medicare Part D claims per year.
What drugs does JAMES NIELSEN, M.D. prescribe most often?
Based on 2023 Medicare Part D data, JAMES NIELSEN, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Lisinopril, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES NIELSEN, M.D. accept Medicare?
JAMES NIELSEN, M.D. appears in CMS Medicare data with 1,283 Part D claims and 112 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES NIELSEN, M.D.'s credentials?
JAMES NIELSEN, M.D.'s NPI is 1205806460 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology