Alex L. Nielson, MD
NPI 1174012355ActiveIndividual· Internal Medicine· Longview, WA
Internal Medicine (MD) in Longview, Washington, trained at Oregon Health Sciences University School of Medicine (class of 2018). Their prescriptions cost Medicare Part D more than their services did: $162,977 for 2,114 claims, against $62,476 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 33 companies reporting payments in 2025, $2,071 in all, mostly food and beverage.
Overview
| NPI | 1174012355 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 3, 2018 |
| Last updated in NPPES | Mar 24, 2023 |
| Certified by provider | Mar 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | MD61130110 | WA |
| Family Medicine | 207Q00000X | MD61130110 | WA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 273 |
|---|---|
| Services billed | 2,541 across 103 procedure codes |
| Paid by Medicare | $62,476 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,114 · 4,013 30-day fills |
|---|---|
| Patients | 443 |
| Total drug cost | $162,977 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Oregon Health Sciences University School of Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Kirkpatrick Family Care, PsLongview, WA · 11 clinicians
Hospital affiliation
- Peacehealth St John Medical CenterLongview, WA
Other facilities
- Assured Home Health and HospiceHome health agency · Centralia, WA
Industry payments (Open Payments)
- 2025$2,071 · 89 payments from 33 companies
- 2024$970.28 · 50 payments from 19 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $304.66 | 15 |
| Novartis Pharmaceuticals Corporation | $188.27 | 7 |
| Amgen Inc. | $156.39 | 7 |
| Lilly USA, LLC | $147.37 | 7 |
| Zimmer Biomet Holdings, Inc. | $101.03 | 1 |
What the 2025 payments were for
- Food and Beverage$1,831 · 85 payments
- Education$189.91 · 3 payments
- Long term medical supply or device loan$49.95 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 50 internal medicine physicians in Longview · All internal medicine physicians in Washington