DR. WILLIAM HENRY NELSON MD
NPI 1104076579
Surgery in Pittsburgh, PA

Active since September 23, 2008PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
420 E NORTH AVE STE 304, PITTSBURGH, PA 15212(412) 359-4068(412) 359-6732 Get Directions Write a Review

NPPES record last updated: October 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2020, Mar 17, 2018, Jun 8, 2017 and 1 more (4 updates tracked since 2016).

About Dr. William Henry Nelson Md NPPES

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

DR. WILLIAM HENRY NELSON MD (NPI 1104076579) is an individual surgery provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD442050) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1104076579
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. WILLIAM HENRY NELSONCredential: MD
Location Address420 E NORTH AVE STE 304Pittsburgh, PA 15212-4746
Mailing Address420 E North Ave Ste 304Pittsburgh, PA 15212-4746 · (412) 359-4068 · Fax (412) 359-6732
Fax(412) 359-6732
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 23, 2008
Last NPPES UpdateOctober 5, 20204 updates tracked since enumeration
NPPES CertifiedOctober 5, 2020
NPI 1104076579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD442050
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
420 E NORTH AVE STE 304, Pittsburgh, PA 15212

Secondary Practice Location 1

Location 14815 Liberty Ave Ste M58Pittsburgh, PA 15224-2156 · Phone (412) 578-1448 · Fax (412) 605-6316

Other Identifiers 2

Other12570367Caqh
Medicaid102883822PA

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. William Henry 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 ID8729215165
PECOS Enrollment IDI20131211000252
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services32 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
29 services28 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.
20 services20 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
18 services18 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
17 services17 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.
17 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15212 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Adult Health)
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Physician Assistant (Surgical)
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Physician Assistant (Surgical)
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212
Surgery
420 E NORTH AVE STE 304
PITTSBURGH, PA 15212

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 William Nelson's NPI number?

The NPI number for William Nelson is 1104076579. It was assigned to this individual provider in the NPPES registry on September 23, 2008.

Where is William Nelson located?

William Nelson practices at 420 E North Ave Ste 304, Pittsburgh, PA 15212. The listed phone number is (412) 359-4068.

What is William Nelson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Nelson enrolled in Medicare?

Yes. William 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 William Nelson affiliated with any hospitals?

According to CMS data, William Nelson is affiliated with Allegheny General Hospital, West Penn Hospital, Jefferson Hospital, Grove City Medical Center and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for William Nelson was last updated on October 5, 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.