MICHAEL J. NELMS PA-C
NPI 1235113580
Physician Assistant in San Diego, CA

Q: What is Michael Nelms's NPI number?

The NPI number for Michael Nelms is 1235113580. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Q: What is Michael Nelms's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Nelms was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 30, 2005PECOS EnrolledAccepts Medicare Assignment

77.86/100

CMS Quality Rating

4060 FOURTH AVE, SUITE 415, SAN DIEGO, CA 92103(619) 298-9809(619) 298-9823 Get Directions Write a Review

NPPES record last updated: March 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Michael J. Nelms Pa-c NPPES

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

MICHAEL J. NELMS PA-C (NPI 1235113580) is an individual physician assistant in San Diego, California, licensed in California (PA14379) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1235113580

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMICHAEL J. NELMSCredential: PA-C

Location Address4060 FOURTH AVE, SUITE 415San Diego, CA 92103-2116

Mailing Address2285 Corporate Cir, Ste 200Henderson, NV 89074-7759 · (702) 360-2763 · Fax (949) 783-2880

Phone(619) 298-9809

Fax(619) 298-9823

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateNovember 30, 2005

Last NPPES UpdateMarch 15, 2016

✔ NPI 1235113580 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 CA · PA14379

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.

4060 FOURTH AVE, San Diego, CA 92103

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Other Identifiers 10

Medicare PINAV153VCA

OtherP00892151CA · Rr Medicare -ca Group Ptan Cd5363

Medicare PINAV153UCA

Medicare PINAV153YCA

Medicare PINBG109CA

Medicare ID-Type UnspecifiedW11117CA

Medicare PINWPA14379ECA

Medicare PINAV153XCA

Medicare PINAV153ZCA

Medicare PINWPA14379FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Michael J. Nelms 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 ID1456432293

PECOS Enrollment IDI20080117000382

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 18

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345

Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.

7,600 services28 patients

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,643 services208 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.

754 services358 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

536 services187 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

535 services264 patients

Biopsy of related skin growth, first growth 11102

A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.

471 services276 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

132 services74 patients

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

91 services57 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

90 services74 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

78 services52 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.

76 services61 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

55 services48 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

51 services51 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.

43 services32 patients

Application of light with debridement to destroy precancer skin growth 96574

This procedure involves applying a special light source to the skin after removing dead tissue (debridement). The light helps destroy precancerous growths, preventing them from developing into skin cancer. It's a safe and effective method to keep your skin healthy.

36 services28 patients

Biopsy of ear 69100

A biopsy of the ear is a medical procedure where a small sample of tissue is taken from your ear for examination. This helps doctors diagnose any abnormalities or diseases. It's a simple process, usually done under local anesthesia, and has minimal risks.

20 services16 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

15 services14 patients

Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm 11402

This procedure involves the removal of a noncancerous skin growth on the body, arms, or legs that is between 1.1 and 2.0 cm in size. It's a safe and routine procedure performed by a medical professional to improve your skin health and appearance.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

77.86/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

58.05

Promoting Interoperability

Improvement Activities

Cost

73.99

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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.

BS KHEHAR MD INC

Internal Medicine

4060 FOURTH AVE, SUITE 335
SAN DIEGO, CA 92103

San Diego County (619) 291-9285

PAUL D WAGNER M D INC

Internal Medicine

4060 FOURTH AVE, SUITE 100
SAN DIEGO, CA 92103

San Diego County (619) 718-9444

JEFFREY ROBERT TOMAN M.D.

Colon & Rectal Surgery

4060 FOURTH AVE, SUITE 510
SAN DIEGO, CA 92103

San Diego County (619) 686-4011

MELISSA JANOVITCH P.A.

Physician Assistant (Medical)

4060 FOURTH AVE, SUITE 415
SAN DIEGO, CA 92103

San Diego County (619) 298-9809

JERROLD GLASSMAN M.D.

Internal Medicine (Cardiovascular Disease)

4060 FOURTH AVE, SUITE 650
SAN DIEGO, CA 92103

San Diego County (619) 819-7222

MS. ARACELI ESTRADA-ORTEGA RDN, CDN

Dietitian, Registered

4060 FOURTH AVE
SAN DIEGO, CA 92103

San Diego County (619) 298-9931

DR. KAREN HERBST JAMISON M.D.

Internal Medicine

4060 FOURTH AVE, SUITE 505
SAN DIEGO, CA 92103

San Diego County (619) 298-1318

ZHIKE PRUETT N.P.

Nurse Practitioner

4060 FOURTH AVE, SUITE 220
SAN DIEGO, CA 92103

San Diego County (866) 284-2771

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 Michael Nelms's NPI number?

The NPI number for Michael Nelms is 1235113580. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Michael Nelms located?

Michael Nelms practices at 4060 Fourth Ave Suite 415, San Diego, CA 92103. The listed phone number is (619) 298-9809.

What is Michael Nelms's specialty?

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

Is Michael Nelms enrolled in Medicare?

Yes. Michael Nelms 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 Michael Nelms accept?

Health plans from UnitedHealthcare list Michael Nelms 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.

When was this NPI record last updated?

The NPPES record for Michael Nelms was last updated on March 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.