DR. LEONARD B NELSON M.D.
NPI 1093789679
Ophthalmology in Bala Cynwyd, PA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
75.96/100
CMS Quality Rating
100 PRESIDENTIAL BLVD STE 200, BALA CYNWYD, PA 19004(484) 434-2700(610) 660-0419 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Leonard B Nelson M.d. NPPES

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

DR. LEONARD B NELSON M.D. (NPI 1093789679) is an individual ophthalmology provider in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (MD025037E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Wills Eye Hospital, and is a graduate of Harvard Medical School (1976).

NPPES Registry Identity

NPI1093789679
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. LEONARD B NELSONCredential: M.D.
Location Address100 PRESIDENTIAL BLVD STE 200Bala Cynwyd, PA 19004-1108
Mailing Address100 Presidential Blvd Ste 200Bala Cynwyd, PA 19004-1108 · (484) 434-2700 · Fax (610) 660-0419
Fax(610) 660-0419
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1976
Enumeration DateFebruary 13, 2006
Last NPPES UpdateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
NPI 1093789679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD025037E Licensed in NJ · 25MA04991900
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
100 PRESIDENTIAL BLVD STE 200, Bala Cynwyd, PA 19004

Other Identifiers 2

Medicaid000790768-0003PA
Medicaid000790768-0001PA

Accepted 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

Dr. Leonard B 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 ID7113990003
PECOS Enrollment IDI20040818000762, I20220531002832
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 6

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
233 services155 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
161 services109 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.
43 services43 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.
39 services32 patients
Realignment of horizontal eye muscle 67311
Realignment of horizontal eye muscle is a surgical procedure to correct strabismus, a condition where your eyes don't align properly. The surgeon adjusts the muscles that control eye movement, improving coordination and focus. This helps to restore normal eye alignment and functioning.
31 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services14 patients

Hospital Affiliations CMS Care Compare

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

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

75.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.09
Promoting Interoperability100
Improvement Activities20
Cost49.77

Other Providers at the Same Location NPPES 18

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

Ophthalmology
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Ophthalmology
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Ophthalmology
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Optometrist
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Optometrist
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Ophthalmology
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Ophthalmology (Glaucoma Specialist)
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004
Ophthalmology
100 PRESIDENTIAL BLVD STE 200
BALA CYNWYD, PA 19004

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 Leonard Nelson's NPI number?

The NPI number for Leonard Nelson is 1093789679. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Leonard Nelson located?

Leonard Nelson practices at 100 Presidential Blvd Ste 200, Bala Cynwyd, PA 19004. The listed phone number is (484) 434-2700.

What is Leonard Nelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Leonard Nelson enrolled in Medicare?

Yes. Leonard 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 Leonard Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 5 other insurers list Leonard 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 Leonard Nelson affiliated with any hospitals?

According to CMS data, Leonard Nelson is affiliated with Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Leonard Nelson was last updated on November 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.