Doctor profile · Federal record

Dr. Tanner Nissly, DO

Family Medicine Physician (CMS: Family Practice) · Student in an Organized Health Care Education/Training Program · Minneapolis, MN

  • NPI 1518131093
  • Accepts Medicare
  • 19 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
1020 W Broadway Ave, Broadway Family Medicine
Minneapolis, MN 554112504
(612) 302-8209

Credentials & registration

NPPES · NUCC
NPI registered
April 2008 — 18 yrs on file
Profile last updated
February 15, 2013
Year of graduation
2007 — 19 yrs since
Specialty taxonomy
207Q00000X — NUCC code
State license (1)
Minnesota #50925

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1518131093. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
280
Distinct HCPCS
8
Medicare allowed
$22,398
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 87 45 $122
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 68 34 $76
80306 Testing for presence of drug, read by instrument assisted observation 29 11 $16
36415 Insertion of needle into vein for collection of blood sample 28 24 $8
99213 Established patient office or other outpatient visit, 20-29 minutes 18 14 $88
99238 Hospital discharge day management, 30 minutes or less 18 18 $78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 17 17 $166
80048 Blood test, basic group of blood chemicals (calcium, total) 15 15 $8

In context: peer comparison

Among 108 peers in this city , average services per provider: 44. This provider delivers 6.4× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
325
Patients
28
Total drug cost
$8,188
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 73 14 $2,212
Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) Brand 46 14 $1,177
Metoprolol Succinate Generic 30 0 $817
Gabapentin Generic 26 0 $1,141
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 20 0 $924
Amlodipine Besylate Generic 20 0 $157
Hydrochlorothiazide Generic 16 0 $117
Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) Brand 15 0 $220
Atorvastatin Calcium Generic 14 0 $225
Sertraline Hcl Generic 14 0 $429

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Tanner Nissly's medical specialty?
Dr. Tanner Nissly practices Family Medicine Physician in Minneapolis, MN.
Where does Dr. Tanner Nissly practice?
Dr. Tanner Nissly practices at 1020 W Broadway Ave, Minneapolis, MN 554112504. Office phone: 6123028209.
What is Dr. Tanner Nissly's NPI?
Dr. Tanner Nissly's National Provider Identifier (NPI) is 1518131093, issued by NPPES.
Does Dr. Tanner Nissly accept Medicare assignment?
Yes. Dr. Tanner Nissly accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tanner Nissly commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Testing for presence of drug, read by instrument assisted observation (HCPCS 80306). Source: CMS Medicare Physician & Other Practitioners file.