DR. PETER TOBIAS NELSON MD, PHD
NPI 1053359927
Pathology - Neuropathology in Lexington, KY

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
800 ROSE ST # MS 117, LEXINGTON, KY 40536(859) 323-5425 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter Tobias Nelson Md, Phd NPPES

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

DR. PETER TOBIAS NELSON MD, PHD (NPI 1053359927) is an individual neuropathology provider in Lexington, Kentucky, licensed in Kentucky (TP443) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1053359927
Entity TypeIndividualMale
Primary Taxonomy207ZN0500X
Provider Legal NameDR. PETER TOBIAS NELSONCredential: MD, PHD
Location Address800 ROSE ST # MS 117Lexington, KY 40536
Mailing Address800 Rose St # Ms 117Lexington, KY 40536-0298 · (859) 323-5425
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1998
Enumeration DateJune 3, 2006
Last NPPES UpdateJune 4, 2019
NPI 1053359927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZN0500X
License Licensed in KY · TP443
Definition

A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.

800 ROSE ST # MS 117, Lexington, KY 40536

Secondary Practice Location 1

Location 1800 Rose St # MS 117Lexington, KY 40536-0298 · Phone (859) 323-5425

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. Peter Tobias Nelson Md, Phd 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 ID4880607472
PECOS Enrollment IDI20060727000186
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.

Hospital Affiliations CMS Care Compare

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

University Of Kentucky Hospital

Acute Care Hospitals · Lexington, KY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number180067
Location800 Rose StreetLexington, KY 40536 · Fayette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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

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.

Pathology (Hematology)
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Pathology (Blood Banking & Transfusion Medicine)
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
800 ROSE ST # MS 117
LEXINGTON, KY 40536
Pathology (Anatomic Pathology & Clinical Pathology)
800 ROSE ST # MS 117
LEXINGTON, KY 40536

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 Peter Nelson's NPI number?

The NPI number for Peter Nelson is 1053359927. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Peter Nelson located?

Peter Nelson practices at 800 Rose St # Ms 117, Lexington, KY 40536. The listed phone number is (859) 323-5425.

What is Peter Nelson's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Is Peter Nelson enrolled in Medicare?

Yes. Peter 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.

Is Peter Nelson affiliated with any hospitals?

According to CMS data, Peter Nelson is affiliated with University Of Kentucky Hospital.

When was this NPI record last updated?

The NPPES record for Peter Nelson was last updated on June 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.