npidexNPI registry + Medicare data

MARK NELSON, MD

Gastroenterology Physician · LA PORTE, IN

Individual Active NPI 1891737763

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245911,274$671,967$132,556$105,197
20236431,552$674,760$158,496$126,614
20226141,474$424,244$155,675$121,910

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito200$5$3
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare181$228$192
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more171$84$57
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope127$81$57
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes123$73$58
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes64$120$91
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes58$110$86
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk44$164$164
45380Biopsy of large bowel using a flexible endoscope38$98$80
G0105Colorectal cancer screening; colonoscopy on individual at high risk38$164$164
43249Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm28$114$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more22$119$82

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓01040264AIN

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.