Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Dallas Gregory Hansen , MD

Surgery โ€ข Nellis Afb, NV

Active NPI 1720214935 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4700 Las Vegas Blvd N
Nellis Afb, NV 891916600

Call 7026532273 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532273
Organization at the Same NPPES Address or Phone
99th Medical Group, Nellis Afb Facility NPI 1740261122

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Kettering, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Kettering Independent Medical Group Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Wright State University Boonshoft School Of Medicine

Graduation Year

2014

Medicare patients

72 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,347 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $3,240 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Hansen has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Hansen as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Nellis Afb and Nevada

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 75% of clinicians listed under Surgery in Nevada (2024, 129 clinicians with data). Median for this group: 194. Middle half: 93 to 334.

Too few clinicians listed under Surgery in Nellis Afb have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Surgery in Nevada (2024, 129 clinicians with data). Median for this group: $23,120. Middle half: $10,883 to $49,655.

Too few clinicians listed under Surgery in Nellis Afb have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 90% of clinicians listed under Surgery in Nevada (2024, 129 clinicians with data). Median for this group: $17,711. Middle half: $8,736 to $38,916.

Too few clinicians listed under Surgery in Nellis Afb have Medicare Part B data for 2024 to compare.

21 active clinicians are listed under Surgery with a practice address in Nellis Afb, NV (236 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Nellis Afb

9.5% of these 21 clinicians have the CMS telehealth indicator.

66.7% of these 21 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2018โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-16
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20170913003936

Enrollment State Jurisdiction

OH

PECOS Control ID

2860620168

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Victor Ingram , LCSW

Social Worker - Clinical

NPI 1043745557

Licensed Clinical Social Worker

Dr. Edward Kempton , MD

Emergency Medicine

NPI 1003442971

Doctor of Medicine (M.D.)

Dr. Aaron Lewis , MD

Internal Medicine - Gastroenterology

NPI 1063585743

Doctor of Medicine (M.D.)

Dr. Kenneth Narayan , DNP, CRNA

Nurse Anesthetist, Certified Registered

NPI 1013579507

Doctor of Nursing Practice, Certified Registered Nurse Anesthetist

Dr. Wesley Oaties , DPT

Physical Therapist

NPI 1053928390

Doctor of Physical Therapy

Ashley Pantuso , APRN

Nurse Practitioner - Family

NPI 1033726286

Advanced Practice Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

18 Historical Events
๐Ÿ“
Updated Practice Location July 16, 2026

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

๐Ÿ“
Updated Business Mailing Address July 16, 2026

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

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2026

Surgery (license number reported to NPPES: OH 35132197)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2022

Surgery (license number reported to NPPES: VA 0101248965)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2021

Surgery (license number reported to NPPES: OH 35132197)

๐Ÿ“
Updated Practice Location March 12, 2018

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

๐Ÿ“
Updated Business Mailing Address March 12, 2018

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

โœ…
NPI Profile Active August 14, 2017

NPI status registered as active in NPPES database

๐Ÿ“
Updated Business Mailing Address August 14, 2017

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

๐Ÿ“
Updated Practice Location August 14, 2017

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

๐Ÿ‘ค
Provider Name / Credentials Updated August 14, 2017

Recorded as DALLAS HANSEN, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2017

Surgery (license number reported to NPPES: VA 0101248965)

โœ…
NPI Profile Active January 03, 2014

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 03, 2014

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

๐Ÿ“
Business Mailing Address (Initial Record) January 03, 2014

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 03, 2014

Recorded as DALLAS HANSEN, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2014

Surgery (license number reported to NPPES: VA 0101248965)

๐ŸŸข
Initial NPI Registration & Enumeration June 02, 2009

First registered as active Individual Practitioner in NPPES Database.

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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

Other Surgery Specialists in Nellis Afb

All Surgery Specialists in Nellis Afb

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Phone: 7026532273

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.