JUDITH E NELSON MD
NPI 1225057342
Internal Medicine - Pulmonary Disease in New York, NY

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
96.78/100
CMS Quality Rating
5 EAST 98TH STREET, 10TH FLOOR BO MOUNT SINAI HOSPITAL PULMONARY, NEW YORK, NY 10029(212) 241-5656(212) 241-8866 Get Directions Write a Review

NPPES record last updated: March 12, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Judith E Nelson Md NPPES

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

JUDITH E NELSON MD (NPI 1225057342) is an individual pulmonary disease provider in New York, New York, licensed in New York (174287) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of New York University School Of Medicine (1986).

NPPES Registry Identity

NPI1225057342
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameJUDITH E NELSONCredential: MD
Location Address5 EAST 98TH STREET, 10TH FLOOR BO MOUNT SINAI HOSPITAL PULMONARYNew York, NY 10029
Mailing Address1 Gustave L Levy Place, Box 3000 Mount Sinai Department Of MedicineNew York, NY 10029 · (212) 987-3100 · Fax (212) 731-5210
Fax(212) 241-8866
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1986
Enumeration DateJuly 19, 2006
Last NPPES UpdateMarch 12, 2008
✔ NPI 1225057342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 174287
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 174287 (NY)
5 EAST 98TH STREET, New York, NY 10029

Other Identifiers 1

Medicare UPINA67030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judith E 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 ID1355304635
PECOS Enrollment IDI20041108000763
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Judith Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 482 clinicians in this Medicare group
Neurology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
132 services58 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services33 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

96.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.8
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
5 EAST 98TH STREET
NEW YORK, NY 10029
Internal Medicine (Pulmonary Disease)
5 EAST 98TH STREET, 10TH FLOOR BO MOUNT SINAI HOSPITAL PULMONARY
NEW YORK, NY 10029
Internal Medicine (Allergy & Immunology)
5 EAST 98TH STREET
NEW YORK, NY 10029
Internal Medicine (Pulmonary Disease)
5 EAST 98TH STREET, 10TH FLOOR BO MOUNT SINAI HOSPITAL PULMONARY
NEW YORK, NY 10029
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5 EAST 98TH STREET, MOUNT SINAI HOSPITAL - ENDOCRINOLOGY ASSOCIATES
NEW YORK, NY 10029
Surgery
5 EAST 98TH STREET, 14TH FL
NEW YORK, NY 10029
Physician Assistant (Surgical)
5 EAST 98TH STREET, 14TH FL
NEW YORK, NY 10029
Surgery
5 EAST 98TH STREET, 14TH FL
NEW YORK, NY 10029

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 Judith Nelson's NPI number?

The NPI number for Judith Nelson is 1225057342. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Judith Nelson located?

Judith Nelson practices at 5 East 98th Street 10th Floor Bo Mount Sinai Hospital Pulmonary, New York, NY 10029. The listed phone number is (212) 241-5656.

What is Judith Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Judith Nelson enrolled in Medicare?

Yes. Judith 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.

Which organizations bill Medicare for Judith Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Nelson reassigns Medicare benefits to 2 organizations: Memorial Anesthesiology Group (New York, NY) and Memorial Neurology Group (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Judith Nelson was last updated on March 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.