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LINDSAY NELSON D.O.
NPI 1265971493
Surgery in Commerce Township, MI

Active since February 21, 2017PECOS EnrolledAccepts Medicare Assignment
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382(248) 937-3300 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Jul 14, 2022, Jul 11, 2017 and 1 more (4 updates tracked since 2017).

About Lindsay Nelson D.o. NPPES

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

LINDSAY NELSON D.O. (NPI 1265971493) is an individual surgery provider in Commerce Township, Michigan, licensed in Michigan (5101025099) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Michigan State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1265971493
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameLINDSAY NELSONCredential: D.O.
Location Address1 WILLIAM CARLS DRCommerce Township, MI 48382-2201
Mailing AddressPo Box 19638Springfield, IL 62794-9638 · (217) 545-8856
Phone(248) 937-3300
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateFebruary 21, 2017
Last NPPES UpdateDecember 13, 20234 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1265971493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 5101025099
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 5101025099 (MI), 125079584 (IL)
1 WILLIAM CARLS DR, Commerce Township, MI 48382
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Lindsay 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 ID9830476209
PECOS Enrollment IDI20231113003275
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 6

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
93 services27 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
41 services22 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.
25 services25 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.
21 services16 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
18 services16 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.
15 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230024
Location6071 W Outer DriveDetroit, MI 48235 · Wayne County
Emergency services Birthing friendly

Huron Valley-Sinai Hospital

Acute Care Hospitals · Commerce Township, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230277
LocationOne William Carls DriveCommerce Township, MI 48382 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48382 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

DR. AARON KENNEDY MD
Student in an Organized Health Care Education/Training Program
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 937-3300
DEBORAH SUE VENDITTELLI NP
Nurse Practitioner (Occupational Health)
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Oakland County (249) 937-3300
KAREN MOORE CRNA
Nurse Anesthetist, Certified Registered
1 WILLIAM CARLS DR
COMMERCE TWP, MI 48382
Oakland County (952) 442-9770
DR. DAMIAN PAJOR MD
Student in an Organized Health Care Education/Training Program
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 937-5085
JAMIE LYNN CLARK CRNA
Nurse Anesthetist, Certified Registered
1 WILLIAM CARLS DR
COMMERCE TWP, MI 48382
Oakland County (248) 937-3307
FARRIS GULLI MD
Surgery (Plastic and Reconstructive Surgery)
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 937-3300
CYNTHIA HEMINGWAY CRNA
Nurse Anesthetist, Certified Registered
1 WILLIAM CARLS DR
COMMERCE TWP, MI 48382
Oakland County (248) 937-3307
MICHIGAN INSTITUTE OF UROLOGY PC
Durable Medical Equipment & Medical Supplies
1 WILLIAM CARLS DR
COMMERCE TOWNSHIP, MI 48382
Oakland County (248) 624-9900

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 Lindsay Nelson's NPI number?

The NPI number for Lindsay Nelson is 1265971493. It was assigned to this individual provider in the NPPES registry on February 21, 2017.

Where is Lindsay Nelson located?

Lindsay Nelson practices at 1 William Carls Dr, Commerce Township, MI 48382. The listed phone number is (248) 937-3300.

What is Lindsay Nelson's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Lindsay Nelson enrolled in Medicare?

Yes. Lindsay 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 Lindsay Nelson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Lindsay 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 Lindsay Nelson affiliated with any hospitals?

According to CMS data, Lindsay Nelson is affiliated with Sinai-Grace Hospital and Huron Valley-Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Lindsay Nelson was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.