ERIC R NELSON MD
NPI 1164443875
Orthopaedic Surgery in Waupun, WI

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
608 W BROWN ST, WAUPUN, WI 53963(920) 324-6802 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 21, 2020, Mar 2, 2016, Feb 17, 2016 (3 updates tracked since 2016).

About Eric R Nelson Md NPPES

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

ERIC R NELSON MD (NPI 1164443875) is an individual orthopaedic surgery provider in Waupun, Wisconsin, licensed in Wisconsin (53439-020) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of Medical College Of Wisconsin (2001).

NPPES Registry Identity

NPI1164443875
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameERIC R NELSONCredential: MD
Location Address608 W BROWN STWaupun, WI 53963-1788
Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2001
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 21, 20203 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1164443875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in WI · 53439-020
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

608 W BROWN ST, Waupun, WI 53963

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

Eric R 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 ID8527066166
PECOS Enrollment IDI20091021000253
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
180 services26 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 services26 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
29 services22 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.
28 services28 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.
26 services24 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
14 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Ripon Medical Center

Critical Access Hospitals · Ripon, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521321
Location845 Parkside StRipon, WI 54971 · Fond Du Lac County
Emergency services

Waupun Memorial Hospital

Critical Access Hospitals · Waupun, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521327
Location620 W Brown StWaupun, WI 53963 · Fond Du Lac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53963 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

Orthopaedic Surgery
608 W BROWN ST
WAUPUN, WI 53963
Internal Medicine (Nephrology)
608 W BROWN ST
WAUPUN, WI 53963
Family Medicine
608 W BROWN ST
WAUPUN, WI 53963
Physician Assistant
608 W BROWN ST
WAUPUN, WI 53963
Family Medicine
608 W BROWN ST
WAUPUN, WI 53963
Obstetrics & Gynecology
608 W BROWN ST
WAUPUN, WI 53963
Family Medicine
608 W BROWN ST
WAUPUN, WI 53963
Family Medicine
608 W BROWN ST
WAUPUN, WI 53963

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164443875, enumerated as an "individual" on July 21, 2006.

The provider is located at 608 W BROWN ST WAUPUN, WI 53963 and the phone number is (920) 324-6802.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Network Health and Quartz. Please consult your insurance carrier or call the provider to verify.

Eric Nelson is affiliated with: ST. AGNES HOSPITAL HOSPICE, RIPON MEDICAL CENTER and WAUPUN MEMORIAL HOSPITAL.