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DR. SUSAN E NELSON M.D.
NPI 1144208612
Internal Medicine in Buffalo Grove, IL

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.66/100
CMS Quality Rating
15 S MCHENRY RD, BUFFALO GROVE, IL 60089(847) 618-0351(847) 618-0766 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, May 10, 2021, Mar 2, 2020 (3 updates tracked since 2020).

About Dr. Susan E Nelson M.d. NPPES

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

DR. SUSAN E NELSON M.D. (NPI 1144208612) is an individual internal medicine provider in Buffalo Grove, Illinois, licensed in Illinois (036076434) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Advocate Lutheran General Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1986).

NPPES Registry Identity

NPI1144208612
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN E NELSONCredential: M.D.
Location Address15 S MCHENRY RDBuffalo Grove, IL 60089-6705
Mailing Address15 S Mchenry RdBuffalo Grove, IL 60089-6705 · (847) 618-0351 · Fax (847) 618-0766
Phone(847) 618-0351
Fax(847) 618-0766
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1986
Enumeration DateJanuary 5, 2006
Last NPPES UpdateOctober 5, 20213 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1144208612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036076434
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
15 S MCHENRY RD, Buffalo Grove, IL 60089
Open in Google Maps ↗

Other Identifiers 1

Medicaid36076434IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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. Susan E 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 ID4284675083
PECOS Enrollment IDI20050520000851
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.

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.
157 services106 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
82 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services43 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
27 services26 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60089 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

89.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.32
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers33 claims87 services$5.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. CHRISTIAN A DANIELS M.D.
Family Medicine
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0351
DR. DANIEL B CACIOPPO MD
Psychiatry & Neurology (Neurology)
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0326
DR. SARAH CATHLEEN PETERSON M.D.
Allergy & Immunology
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0326
DR. CHUCK RICHARD VRASICH MD
Internal Medicine
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0351
DR. GEORGE T. THOTT M.D
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0326
REBECCA A GRIESEMER PA-C
Physician Assistant
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0351
DR. IRINA GOLDVEKHT D.O.
Internal Medicine
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0351
KRISTIN HORNADAY PA-C
Physician Assistant
15 S MCHENRY RD
BUFFALO GROVE, IL 60089
Lake County (847) 618-0351

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 Susan Nelson's NPI number?

The NPI number for Susan Nelson is 1144208612. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Susan Nelson located?

Susan Nelson practices at 15 S Mchenry Rd, Buffalo Grove, IL 60089. The listed phone number is (847) 618-0351.

What is Susan Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Susan Nelson enrolled in Medicare?

Yes. Susan 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 Susan Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Susan 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 Susan Nelson affiliated with any hospitals?

According to CMS data, Susan Nelson is affiliated with Advocate Lutheran General Hospital and Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Susan Nelson was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.