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DAVID W NELSON M.D.
NPI 1093789703
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bellevue, WA

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1135-116TH AVENUE NE, SUITE 605, BELLEVUE, WA 98004(425) 454-8161(425) 454-6304 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David W Nelson M.d. NPPES

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

DAVID W NELSON M.D. (NPI 1093789703) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bellevue, Washington, licensed in Washington (MD60244683) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and is a graduate of University Of Colorado School Of Medicine, Denver (1987).

NPPES Registry Identity

NPI1093789703
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDAVID W NELSONCredential: M.D.
Location Address1135-116TH AVENUE NE, SUITE 605Bellevue, WA 98004
Mailing AddressPo Box 3947, Ms 315010Seattle, WA 98124-3947 · (425) 467-3655 · Fax (480) 782-6905
Phone(425) 454-8161
Fax(425) 454-6304
Sole ProprietorNo
Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 1987
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 15, 2017
✔ NPI 1093789703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in WA · MD60244683✔ Licensed in AZ · 33733
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 33733 (AZ)
1135-116TH AVENUE NE, Bellevue, WA 98004
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Other Identifiers 1

Medicaid926785AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

David W 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 ID8426012998
PECOS Enrollment IDI20111214000209
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 5

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.

Replacement of aortic valve through the skin and femoral artery 33361
This procedure, known as Transcatheter Aortic Valve Replacement (TAVR), involves replacing a damaged aortic valve through a small incision in the leg. A catheter is inserted into the femoral artery and guided up to the heart. The new valve is then positioned and deployed, restoring normal blood flow.
18 services18 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.
16 services16 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
15 services15 patients
Harvest of vein using an endoscope 33508
Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.
14 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 6

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

DR. JEFFREY V. FOWLER MD
Internal Medicine (Clinical Cardiac Electrophysiology)
1135-116TH AVENUE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
DR. JOEL R WILSON MD
Internal Medicine (Cardiovascular Disease)
1135-116TH AVENUE NE
BELLEVUE, WA 98004
King County (425) 454-2656
MOLLY BETH BROWNFIELD HESS P.A.
Physician Assistant
1135-116TH AVENUE NE, SUITE 200
BELLEVUE, WA 98004
King County (480) 256-6444
JACLYN MAHLSTEDE ARNP
Nurse Practitioner (Family)
1135-116TH AVENUE NE, SUITE 200
BELLEVUE, WA 98004
King County (520) 324-2160
THOMAS MORTON AMIDON M.D.
Internal Medicine (Cardiovascular Disease)
1135-116TH AVENUE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
DR. IAN R WHITE M.D.
Colon & Rectal Surgery
1135-116TH AVENUE NE, SUITE 550
BELLEVUE, WA 98004
King County (425) 646-7400

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 David Nelson's NPI number?

The NPI number for David Nelson is 1093789703. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is David Nelson located?

David Nelson practices at 1135-116th Avenue NE Suite 605, Bellevue, WA 98004. The listed phone number is (425) 454-8161.

What is David Nelson's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is David Nelson enrolled in Medicare?

Yes. David 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 David Nelson accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list David 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 David Nelson affiliated with any hospitals?

According to CMS data, David Nelson is affiliated with Overlake Hospital Medical Center and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for David Nelson was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.