JEFFREY LYNN NELSON MD
NPI 1235459132
Ophthalmology in Merrillville, IN

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
303 W 89TH AVE, SUITE E-4, MERRILLVILLE, IN 46410(219) 769-8989 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2016, Aug 9, 2016 (2 updates tracked since 2016).

About Jeffrey Lynn Nelson Md NPPES

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

JEFFREY LYNN NELSON MD (NPI 1235459132) is an individual ophthalmology provider in Merrillville, Indiana, licensed in Indiana (01073834A) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1235459132
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJEFFREY LYNN NELSONCredential: MD
Location Address303 W 89TH AVE, SUITE E-4Merrillville, IN 46410-6294
Mailing Address303 W 89th Ave, Suite E-4Merrillville, IN 46410-6294 · (219) 769-8989
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 3, 2010
Last NPPES UpdateOctober 26, 20162 updates tracked since enumeration
NPI 1235459132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01073834A
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

303 W 89TH AVE, Merrillville, IN 46410

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

Jeffrey Lynn 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 ID7517184724
PECOS Enrollment IDI20140812002298
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.

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.
797 services447 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
362 services346 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.
323 services298 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
312 services302 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
294 services120 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
169 services159 patients

Hospital Affiliations CMS Care Compare

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

St Mary Medical Center Inc

Acute Care Hospitals · Hobart, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150034
Location1500 S Lake Park AveHobart, IN 46342 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
303 W 89TH AVE, E-2
MERRILLVILLE, IN 46410
Physical Therapist
303 W 89TH AVE, SUITE E3
MERRILLVILLE, IN 46410
Physical Therapist
303 W 89TH AVE, SUITE E3
MERRILLVILLE, IN 46410
Optometrist
303 W 89TH AVE, SUITE E4
MERRILLVILLE, IN 46410
Ophthalmology
303 W 89TH AVE, SUITE E4
MERRILLVILLE, IN 46410
Podiatrist
303 W 89TH AVE, SUITE E-1
MERRILLVILLE, IN 46410
Podiatrist (Foot & Ankle Surgery)
303 W 89TH AVE, SUITE E1
MERRILLVILLE, IN 46410
Podiatrist (Foot & Ankle Surgery)
303 W 89TH AVE, SUITE E-1
MERRILLVILLE, IN 46410

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 Jeffrey Nelson's NPI number?

The NPI number for Jeffrey Nelson is 1235459132. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Jeffrey Nelson located?

Jeffrey Nelson practices at 303 W 89th Ave Suite E-4, Merrillville, IN 46410. The listed phone number is (219) 769-8989.

What is Jeffrey Nelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jeffrey Nelson enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Jeffrey 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 Jeffrey Nelson affiliated with any hospitals?

According to CMS data, Jeffrey Nelson is affiliated with St Mary Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Jeffrey Nelson was last updated on October 26, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.