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ANDREW J NELSON M.D.
NPI 1053308361
Orthopaedic Surgery - Hand Surgery in Waterbury, CT

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
500 CHASE PARKWAY, NOSS, WATERBURY, CT 06708(203) 755-7115(203) 755-7067 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew J Nelson M.d. NPPES

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

ANDREW J NELSON M.D. (NPI 1053308361) is an individual hand surgery provider in Waterbury, Connecticut, licensed in Connecticut (36972) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (1988).

NPPES Registry Identity

NPI1053308361
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameANDREW J NELSONCredential: M.D.
Location Address500 CHASE PARKWAY, NOSSWaterbury, CT 06708-3119
Mailing Address1320 West Main St, NossWaterbury, CT 06708-3119 · (203) 755-7115 · Fax (203) 755-7067
Phone(203) 755-7115
Fax(203) 755-7067
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1988
Enumeration DateOctober 3, 2005
Last NPPES UpdateNovember 1, 2016
✔ NPI 1053308361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License✔ Licensed in CT · 36972
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
500 CHASE PARKWAY, Waterbury, CT 06708
Open in Google Maps ↗

Other Identifiers 2

OtherC00071CT · Medicare Group Number
Medicare PIND400282942CT

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew J 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 ID4486631017
PECOS Enrollment IDI20040701001048
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Andrew Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Starling Physicians, PLLC
16 mi
Radiology, Mammography
300 KENSINGTON AVE, STARLING PHYSICIANS
New Britain, CT 06051
  • Reassigned Medicare billing, Connecticut enrollment
  • 468 clinicians in this Medicare group
NPI 1720182991 (860) 224-6222
The Hospital Of Central Connecticut At New Britain General And Bradley
16 mi
General Acute Care Hospital
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
NPI 1053477075 (860) 224-5011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
172 services56 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.
93 services65 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
56 services37 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.
56 services56 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.
50 services50 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.
47 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06708 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier12 claims12 services$60.82 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 2

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

NEIL MILLER MD
Internal Medicine
500 CHASE PARKWAY, 3RD FL
THOMASTON, CT 06708
Naugatuck Valley Planning Region (203) 574-2930
NAUGATUCK VALLEY COMPUTERIZED IMAGING
Clinic/Center (Radiology)
500 CHASE PARKWAY
WATERBURY, CT 06708
Naugatuck Valley Planning Region (203) 578-3620

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 Andrew Nelson's NPI number?

The NPI number for Andrew Nelson is 1053308361. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Andrew Nelson located?

Andrew Nelson practices at 500 Chase Parkway Noss, Waterbury, CT 06708. The listed phone number is (203) 755-7115.

What is Andrew Nelson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Andrew Nelson enrolled in Medicare?

Yes. Andrew 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.

Which organizations bill Medicare for Andrew Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Nelson reassigns Medicare benefits to 2 organizations: Starling Physicians, PLLC (New Britain, CT) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield list Andrew 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.

When was this NPI record last updated?

The NPPES record for Andrew Nelson was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.