DR. GARY ROBERT NELSON DO
NPI 1245209634
Family Medicine - Adolescent Medicine in Orchard Park, NY

Q: What is Gary Nelson's NPI number?

The NPI number for Gary Nelson is 1245209634. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Q: What is Gary Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Nelson was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 March 16, 2006PECOS Enrolled

3320 N BENZING RD, ORCHARD PARK, NY 14127(716) 972-0300(716) 972-0309 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2022, Nov 19, 2018 (2 updates tracked since 2018).

On this page

About Dr. Gary Robert Nelson Do NPPES

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

DR. GARY ROBERT NELSON DO (NPI 1245209634) is an individual adolescent medicine provider in Orchard Park, New York, licensed in New York (164038) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245209634

Entity TypeIndividualMale

Primary Taxonomy207QA0000X

Provider Legal NameDR. GARY ROBERT NELSONCredential: DO

Location Address3320 N BENZING RDOrchard Park, NY 14127-1538

Mailing Address40 La Riviere Dr Ste 201Buffalo, NY 14202-4344 · (716) 893-1010 · Fax (716) 893-1002

Phone(716) 972-0300

Fax(716) 972-0309

Sole ProprietorNo

Enumeration DateMarch 16, 2006

Last NPPES UpdateMay 24, 20222 updates tracked since enumeration

NPPES CertifiedMay 24, 2022

✔ NPI 1245209634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0000X

License✔ Licensed in NY · 164038

Definition

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

3320 N BENZING RD, Orchard Park, NY 14127

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gary Robert Nelson Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Gary Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wny Medical PC

13 mi

Internal Medicine

4979 HARLEM RD
Amherst, NY 14226

Reassigned Medicare billing, New York enrollment
84 clinicians in this Medicare group

NPI 1154421246 (716) 923-4380

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

12%101 patients1/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

13%98 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

87%127 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

6%31 patients1/55-star benchmark: 98%

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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$23.54 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$4.75 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier11 claims11 services$9.37 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$12.38 avg. paid by Medicare

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443

DME-Oxygen and Supplies · category DC000N

1 supplier12 claims12 services$35.49 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers12 claims12 services$74.51 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SOUTHTOWNS INTERNAL MEDICINE PC

Internal Medicine

3320 N BENZING RD
ORCHARD PARK, NY 14127

Erie County (716) 825-0300

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 Gary Nelson's NPI number?

The NPI number for Gary Nelson is 1245209634. It was assigned to this individual provider in the NPPES registry on March 16, 2006.

Where is Gary Nelson located?

Gary Nelson practices at 3320 N Benzing Rd, Orchard Park, NY 14127. The listed phone number is (716) 972-0300.

What is Gary Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adolescent Medicine, with taxonomy code 207QA0000X.

Is Gary Nelson enrolled in Medicare?

Yes. Gary Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gary Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Nelson reassigns Medicare benefits to Wny Medical PC (Amherst, NY). The 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 Gary 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 Gary Nelson was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.