DEBORAH LEE NELSON PA-C
NPI 1184680415
Physician Assistant in Reston, VA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
69.12/100
CMS Quality Rating
1860 TOWN CENTER DR STE 430, RESTON, VA 20190(703) 738-4335(703) 642-1876 Get Directions Write a Review

NPPES record last updated: July 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2019, Jul 23, 2018, May 31, 2017 (3 updates tracked since 2017).

About Deborah Lee Nelson Pa-c NPPES

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

DEBORAH LEE NELSON PA-C (NPI 1184680415) is an individual physician assistant in Reston, Virginia, licensed in Virginia (0110001258) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Fair Oaks Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1184680415
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEBORAH LEE NELSONCredential: PA-C
Location Address1860 TOWN CENTER DR STE 430Reston, VA 20190
Mailing Address11350 Mccormick Road, Executive Plaza 1, Suite 501Hunt Valley, MD 21031 · (410) 329-1071 · Fax (410) 329-1054
Fax(703) 642-1876
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 25, 2006
Last NPPES UpdateJuly 10, 20193 updates tracked since enumeration
NPI 1184680415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in VA · 0110001258
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1860 TOWN CENTER DR STE 430, Reston, VA 20190

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

Deborah Lee Nelson Pa-c 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 ID9830375823
PECOS Enrollment IDI20120720000341
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 8

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.
737 services205 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.
192 services91 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
153 services28 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
72 services11 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.
18 services13 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.
17 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Inova Fair Oaks Hospital

Acute Care Hospitals · Fairfax, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490101
Location3600 Joseph Siewick DriveFairfax, VA 22033 · Fairfax County
Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

69.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality76.35
Promoting Interoperability100
Improvement Activities40
Cost20.73

Reported Quality Measures

Advance Care Plan
91%470 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
57%333 patients3/55-star benchmark: 98%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
2%212 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%1,107 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
88%927 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
93%2,813 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 64% · 769 patients
Patients screened: 64% · 769 patients
96%72 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 98% · 767 patients
Patients screened: 99% · 767 patients
88%113 patients
Provide Patients Electronic Access to Their Health Information
100%703 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Deborah Nelson's NPI number?

The NPI number for Deborah Nelson is 1184680415. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Deborah Nelson located?

Deborah Nelson practices at 1860 Town Center Dr Ste 430, Reston, VA 20190. The listed phone number is (703) 738-4335.

What is Deborah Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Deborah Nelson enrolled in Medicare?

Yes. Deborah 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 Deborah Nelson affiliated with any hospitals?

According to CMS data, Deborah Nelson is affiliated with Inova Fair Oaks Hospital and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Deborah Nelson was last updated on July 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.