DR. SIDNEY NELSON III M.D.
NPI 1033152541
Internal Medicine in Pikesville, MD

Q: What is Sidney Nelson's NPI number?

The NPI number for Sidney Nelson is 1033152541. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Q: What is Sidney Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sidney Nelson was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment

86.79/100

CMS Quality Rating

1840 REISTERSTOWN RD, PIKESVILLE, MD 21208(757) 222-0300(757) 956-9806 Get Directions Write a Review

NPPES record last updated: January 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Sidney Nelson Iii M.d. NPPES

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

DR. SIDNEY NELSON III M.D. (NPI 1033152541) is an individual internal medicine provider in Pikesville, Maryland, licensed in Maryland (D63298) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Baltimore, and is a graduate of Howard University College Of Medicine (2002).

NPPES Registry Identity

NPI1033152541

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SIDNEY NELSON IIICredential: M.D.

Location Address1840 REISTERSTOWN RDPikesville, MD 21208-1305

Mailing Address2900 Sabre St Ste 300Virginia Beach, VA 23452-7380 · (757) 222-0300

Phone(757) 222-0300

Fax(757) 956-9806

Sole ProprietorNo

Medical School CMSHoward University College Of MedicineGraduated 2002

Enumeration DateJune 13, 2006

Last NPPES UpdateJanuary 15, 2019

✔ NPI 1033152541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in MD · D63298

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License D63298 (MD)

1840 REISTERSTOWN RD, Pikesville, MD 21208

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Secondary Practice Location 1

Location 12435 W Belvedere Ave, Suite 35Baltimore, MD 21215-5224 · Phone (410) 601-6846 · Fax (410) 601-5789

Other Identifiers 3

Medicaid409172800MD

OtherP00309490MD · R/r Medicare Provider #

OtherCA8374MD · R/r Medicare Group #

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. Sidney Nelson Iii M.d. 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 ID4082628300

PECOS Enrollment IDI20060125000976, I20170612001025

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 11

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

391 services249 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

263 services135 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.

172 services86 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

144 services95 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

93 services67 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

56 services52 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

48 services38 patients

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.

36 services30 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.

28 services28 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21208 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

86.79/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

86.46

Promoting Interoperability

Improvement Activities

Cost

Reported Quality Measures

Colorectal Cancer Screening

10%329 patients1/55-star benchmark: 88%

Controlling High Blood Pressure

42%203 patients2/55-star benchmark: 91%

Diabetes: Eye Exam

0%64 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

63%64 patients2/55-star benchmark: 91%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

32%826 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%985 patients2/55-star benchmark: 61%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims296 services$2.62 avg. paid by Medicare

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims8,480 services$0.24 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

6 suppliers26 claims26 services$13.33 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

4 suppliers16 claims16 services$6.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

MRS. DEENA TRZUPEK FARLEY MS, OTR/L

Occupational Therapist

1840 REISTERSTOWN RD
PIKESVILLE, MD 21208

Baltimore County (410) 486-0296

KRISTEN SEXTON OMANWA

Physical Therapist

1840 REISTERSTOWN RD
PIKESVILLE, MD 21208

Baltimore County (410) 580-0892

DR. CELIAN VALERO-COLON M.D.

Internal Medicine

1840 REISTERSTOWN RD
PIKESVILLE, MD 21208

Baltimore County (757) 222-0300

MS. SHARON A COAD COTA

Occupational Therapy Assistant

1840 REISTERSTOWN RD
PIKESVILLE, MD 21208

Baltimore County (410) 644-6936

MIRIAM DEUTSCH COTA/L

Occupational Therapist

1840 REISTERSTOWN RD
BALTIMORE, MD 21208

Baltimore County (443) 467-6434

PATRICIA L. PRESCOTT P.T.

Physical Therapist

1840 REISTERSTOWN RD
PIKESVILLE, MD 21208

Baltimore County (410) 486-0296

EMERITUS CORPORATION

Assisted Living Facility

1840 REISTERSTOWN RD
PIKESVILLE, MD 21208

Baltimore County (410) 580-0892

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 Sidney Nelson's NPI number?

The NPI number for Sidney Nelson is 1033152541. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Sidney Nelson located?

Sidney Nelson practices at 1840 Reisterstown Rd, Pikesville, MD 21208. The listed phone number is (757) 222-0300.

What is Sidney Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sidney Nelson enrolled in Medicare?

Yes. Sidney 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.

When was this NPI record last updated?

The NPPES record for Sidney Nelson was last updated on January 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.