CARL NELSON M.D.
NPI 1043443518
Radiology - Radiation Oncology in Burlington, VT

Q: What is Carl Nelson's NPI number?

The NPI number for Carl Nelson is 1043443518. It was assigned to this individual provider in the NPPES registry on August 31, 2009.

Q: What is Carl Nelson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for Carl Nelson was last updated on July 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 31, 2009PECOS EnrolledAccepts Medicare Assignment

111 COLCHESTER AVE, DEPT OF RADIATION ONCOLOGY, BURLINGTON, VT 05401(802) 847-3506 Get Directions Write a Review

NPPES record last updated: July 5, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Carl Nelson M.d. NPPES

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

CARL NELSON M.D. (NPI 1043443518) is an individual radiation oncology provider in Burlington, Vermont, licensed in Vermont (0420012686) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1043443518

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameCARL NELSONCredential: M.D.

Location Address111 COLCHESTER AVE, DEPT OF RADIATION ONCOLOGYBurlington, VT 05401-1473

Mailing Address111 Colchester Ave, Dept Of Radiation OncologyBurlington, VT 05401-1473

Phone(802) 847-3506

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateAugust 31, 2009

Last NPPES UpdateJuly 5, 2013

✔ NPI 1043443518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in VT · 0420012686

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 COLCHESTER AVE, Burlington, VT 05401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Carl Nelson 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 ID9931342573

PECOS Enrollment IDI20130829000048

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 14

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.

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

242 services81 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

203 services83 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.

194 services153 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

178 services71 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

84 services79 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

55 services55 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.

52 services47 patients

Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved 77290

This procedure involves collecting necessary data to plan the best radiation treatment. It may cover 3 or more areas or any area requiring special attention. Data collection includes imaging scans and tests to understand the disease's extent and to tailor a precise, effective treatment plan.

43 services40 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

43 services43 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

43 services43 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

33 services29 patients

3d radiation therapy planning 77295

3D radiation therapy planning is a procedure that uses computer imaging to map out the area needing treatment. This ensures the radiation targets the disease precisely, while minimizing exposure to surrounding healthy tissues. It's a key step in preparing for effective radiation therapy.

32 services30 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.

18 services18 patients

Complex radiation therapy planning for delivery of external radiation 77307

Complex radiation therapy planning involves creating a detailed plan to deliver targeted radiation doses. The process includes imaging scans to identify the area needing treatment, and designing a specific radiation plan to protect healthy tissue while effectively treating the disease.

15 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300003

Location1 Medical Center DriveLebanon, NH 03756 · Grafton County

Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470001

LocationBox 547Barre, VT 05641 · Washington County

Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Gifford Medical Center

Critical Access Hospitals · Randolph, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471301

Location44 South Main StreetRandolph, VT 05060 · Orange County

Emergency services

Copley Hospital

Critical Access Hospitals · Morrisville, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471305

Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$168.48 typical visit price

range $55.80 – $168.48

Typical copayment $42.12 (range $13.95 – $42.12)

Most-billed visit code 99205

Established Patient

$69.56 typical visit price

range $18.08 – $137.84

Typical copayment $17.39 (range $4.52 – $34.46)

Most-billed visit code 99213

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

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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.

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

ANDREW HUY NGUYEN MD

Student in an Organized Health Care Education/Training Program