RICHARD T NELSON D.O.
NPI 1255541843
Internal Medicine - Endocrinology, Diabetes & Metabolism in Bettendorf, IA

Q: What is Richard Nelson's NPI number?

The NPI number for Richard Nelson is 1255541843. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Q: What is Richard Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Richard Nelson was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 23, 2007PECOS EnrolledAccepts Medicare Assignment

28.55/100

CMS Quality Rating

2535 MAPLECREST RD STE 10, BETTENDORF, IA 52722(563) 421-4620(563) 421-4625 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Richard T Nelson D.o. NPPES

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

RICHARD T NELSON D.O. (NPI 1255541843) is an individual endocrinology, diabetes & metabolism provider in Bettendorf, Iowa, licensed in Iowa (3808) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255541843

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameRICHARD T NELSONCredential: D.O.

Location Address2535 MAPLECREST RD STE 10Bettendorf, IA 52722-2799

Mailing Address2535 Maplecrest Rd Ste 10Bettendorf, IA 52722-2799 · (563) 421-4620 · Fax (563) 421-4625

Phone(563) 421-4620

Fax(563) 421-4625

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 23, 2007

Last NPPES UpdateMay 20, 2021

NPPES CertifiedMay 20, 2021

✔ NPI 1255541843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in IA · 3808

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 3808 (IA)

2535 MAPLECREST RD STE 10, Bettendorf, IA 52722

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

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

Richard T Nelson D.o. 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 ID1355492398

PECOS Enrollment IDI20090702000087

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

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

Genesis Health System

0.1 mi

Hospice Care, Community Based

2546 TECH DR
Bettendorf, IA 52722

Reassigned Medicare billing, Iowa and Illinois enrollments
Also billed through NPI 1295196798 (Illinois)
300 clinicians in this Medicare group

NPI 1013968262 (563) 421-5400

Genesis Health System

3.3 mi

Surgery

1227 E RUSHOLME ST
Davenport, IA 52803

Reassigned Medicare billing, Iowa enrollment
358 clinicians in this Medicare group

NPI 1528616901 (563) 421-3408

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 12

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.

265 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.

195 services172 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

172 services92 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

77 services59 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

73 services73 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.

52 services52 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

28 services27 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.

27 services26 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin 95249

Continuous monitoring of blood sugar involves a small sensor inserted under the skin. This sensor measures glucose levels in tissue fluid throughout the day and night, providing real-time readings. It aids in managing diabetes effectively.

23 services21 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

20 services20 patients

Urine microalbumin (protein) analysis 82044

Urine microalbumin analysis is a test that measures the amount of a protein called albumin in your urine. This protein is usually present in very small amounts, but higher levels can indicate kidney issues. The test is non-invasive and involves a simple urine sample.

16 services15 patients

Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006

A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number140275

Location801 Illini DrSilvis, IL 61282 · Rock Island County

Emergency services Birthing friendly

Genesis Medical Center, Aledo

Critical Access Hospitals · Aledo, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141304

Location409 NW 9th AvenueAledo, IL 61231 · Mercer County

Emergency services

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Mercyone Clinton Medical Center

Acute Care Hospitals · Clinton, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160080

Location1410 North 4th StreetClinton, IA 52732 · Clinton County

Emergency services Birthing friendly

Genesis Medical Center-Dewitt

Critical Access Hospitals · Dewitt, IA

OwnershipVoluntary non-profit - Private

CMS Certification Number161313

Location1118 11th StreetDewitt, IA 52742 · Clinton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52722 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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.

28.55/100

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

Scored as part of a group practice

Quality

21.38

Improvement Activities

Cost

55.97

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

7 suppliers59 claims746 services$17.88 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

7 suppliers57 claims1,765 services$2.31 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

2 suppliers17 claims17 services$174.67 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

36 suppliers139 claims681 services$5.75 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

16 suppliers26 claims73 services$0.90 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers59 claims59 services$289.45 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 3

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

SALEM T. GABALLA MBBCH

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2535 MAPLECREST RD STE 10
BETTENDORF, IA 52722

Scott County (563) 421-4620

MRS. AMENAH AL-JUBOORI MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2535 MAPLECREST RD STE 10
BETTENDORF, IA 52722

Scott County (563) 421-4620

MRS. AUDREY MICHELE BUNCE NP-C

Nurse Practitioner

2535 MAPLECREST RD STE 10
BETTENDORF, IA 52722

Scott County (563) 421-4620

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 Richard Nelson's NPI number?

The NPI number for Richard Nelson is 1255541843. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Richard Nelson located?

Richard Nelson practices at 2535 Maplecrest Rd Ste 10, Bettendorf, IA 52722. The listed phone number is (563) 421-4620.

What is Richard Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Richard Nelson enrolled in Medicare?

Yes. Richard 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 Richard Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Richard Nelson reassigns Medicare benefits to 2 organizations: Genesis Health System (Bettendorf, IA) and Genesis Health System (Davenport, IA). 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 Richard Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Richard Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Richard 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 Richard Nelson affiliated with any hospitals?

According to CMS data, Richard Nelson is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini, Genesis Medical Center, Aledo, Genesis Medical Center-Davenport, Mercyone Clinton Medical Center and Genesis Medical Center-Dewitt.

When was this NPI record last updated?

The NPPES record for Richard Nelson was last updated on May 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.