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ERIK B NELSON MD
NPI 1083750020
Psychiatry & Neurology - Psychiatry in Cincinnati, OH

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
231 ALBERT SABIN WAY, MAIL LOCATION 0559, CINCINNATI, OH 45267(513) 558-1133(513) 558-4805 Get Directions Write a Review

NPPES record last updated: February 7, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erik B Nelson Md NPPES

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

ERIK B NELSON MD (NPI 1083750020) is an individual psychiatry provider in Cincinnati, Ohio, licensed in Ohio (35068672) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Cincinnati College Of Medicine (1992).

NPPES Registry Identity

NPI1083750020
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameERIK B NELSONCredential: MD
Location Address231 ALBERT SABIN WAY, MAIL LOCATION 0559Cincinnati, OH 45267-0001
Mailing AddressPo Box 636256 Central CredentialingCincinnati, OH 45263-6256 · (513) 245-3107 · Fax (513) 585-5511
Phone(513) 558-1133
Fax(513) 558-4805
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1992
Enumeration DateJanuary 29, 2007
Last NPPES UpdateFebruary 7, 2018
✔ NPI 1083750020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in OH · 35068672
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
231 ALBERT SABIN WAY, Cincinnati, OH 45267
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Other Identifiers 1

Medicaid0236060OH

Accepted Insurance

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

Erik B Nelson Md 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 ID3375615339
PECOS Enrollment IDI20080708000367
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 4

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.

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.
75 services36 patients
Therapy using electrical currents 90870
Therapy using electrical currents, also known as electrotherapy, involves applying small electrical pulses to your body to stimulate healing. It can help manage pain, improve circulation, repair tissues, and strengthen muscles. It's a safe, non-invasive treatment often used in physical therapy.
67 services11 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
35 services12 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.
30 services15 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

AHMED ELSAYED SARHAN MD
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-3903
JENNA NICOLE WHITROCK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY, ML 0558
CINCINNATI, OH 45267
Hamilton County (217) 617-7664
WARREN BACK
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-7333
NOELLE KIPP
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-2978
HEATHER NICOLE KALEY
Thoracic Surgery (Cardiothoracic Vascular Surgery)
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (720) 254-5993
LAURA BENDER
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (216) 538-3356
KAVYA KEERTHI VADLAMUDI
Student in an Organized Health Care Education/Training Program
231 ALBERT SABIN WAY
CINCINNATI, OH 45267
Hamilton County (513) 558-1051
GREGORY RETZINGER MD
Pathology (Clinical Pathology/Laboratory Medicine)
231 ALBERT SABIN WAY, DEPARTMENT OF PATHOLOGY
CINCINNATI, OH 45267
Hamilton County (513) 558-4500

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 Erik Nelson's NPI number?

The NPI number for Erik Nelson is 1083750020. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Erik Nelson located?

Erik Nelson practices at 231 Albert Sabin Way Mail Location 0559, Cincinnati, OH 45267. The listed phone number is (513) 558-1133.

What is Erik Nelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Erik Nelson enrolled in Medicare?

Yes. Erik 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.

What insurance does Erik Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Erik 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.

Is Erik Nelson affiliated with any hospitals?

According to CMS data, Erik Nelson is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Erik Nelson was last updated on February 7, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.