DR. PHILIP A NELSON MD
NPI 1003868704
Physical Medicine & Rehabilitation in Milwaukee, WI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD, MILWAUKEE, WI 53226(414) 456-7199 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Philip A Nelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHILIP A NELSON MD (NPI 1003868704) is an individual physical medicine & rehabilitation provider in Milwaukee, Wisconsin, licensed in Wisconsin (45712) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Froedtert Memorial Lutheran Hospital, and is a graduate of Indiana University School Of Medicine (1999).

NPPES Registry Identity

NPI1003868704
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. PHILIP A NELSONCredential: MD
Location Address1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROADMilwaukee, WI 53226-3421
Mailing Address1155 N Mayfair Rd, Spine Care Clinic At Plank RoadMilwaukee, WI 53226-3421
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 1999
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1003868704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in WI · 45712
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
1155 N MAYFAIR RD, Milwaukee, WI 53226

Other Identifiers 2

Medicare UPINH90739
Medicaid34394500WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Philip A Nelson Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153339031
PECOS Enrollment IDI20060404000510
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
89 services65 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services51 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
60 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
38 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Psychiatric)
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Neurological Surgery
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Psychologist (Clinical)
1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226
Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226
Family Medicine
1155 N MAYFAIR RD
WAUWATOSA, WI 53226

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Nelson's NPI number?

The NPI number for Philip Nelson is 1003868704. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Philip Nelson located?

Philip Nelson practices at 1155 N Mayfair Rd Spine Care Clinic At Plank Road, Milwaukee, WI 53226. The listed phone number is (414) 456-7199.

What is Philip Nelson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Philip Nelson enrolled in Medicare?

Yes. Philip Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Philip Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Philip Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Philip Nelson affiliated with any hospitals?

According to CMS data, Philip Nelson is affiliated with Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Philip Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.