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

Q: 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.

Q: What is Peter Nelson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Peter Nelson was last updated on June 4, 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 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: November 01, 2026.

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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

Phone(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

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Secondary Practice Location 1

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

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Medical Services Foundation, Inc

3.5 mi

Internal Medicine

2333 ALUMNI PARK PLZ, SUITE 200
Lexington, KY 40517

Reassigned Medicare billing, Kentucky enrollment
1,502 clinicians in this Medicare group

NPI 1326091448 (859) 257-7910

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

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 Interoperability

100

Improvement Activities

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.

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