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DR. DOROTHY KAREN NELDER M.D.
NPI 1285695338
Family Medicine in Jesup, GA

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
930 S 1ST ST, JESUP, GA 31545(912) 427-7790(912) 427-7707 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dorothy Karen Nelder M.d. NPPES

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

DR. DOROTHY KAREN NELDER M.D. (NPI 1285695338) is an individual family medicine provider in Jesup, Georgia, licensed in Alabama (25530) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Kalkaska Memorial Health Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1285695338
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DOROTHY KAREN NELDERCredential: M.D.
Location Address930 S 1ST STJesup, GA 31545
Mailing Address320 Peachtree StJesup, GA 31545-0244 · (912) 427-7790 · Fax (912) 427-7707
Phone(912) 427-7790
Fax(912) 427-7707
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 29, 2006
Last NPPES UpdateJuly 18, 2018
✔ NPI 1285695338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 25530
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

930 S 1ST ST, Jesup, GA 31545
Open in Google Maps ↗

Other Identifiers 1

Medicaid051554297AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Kansas, Inc., Blue Cross Blue Shield of Arizona 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

Dr. Dorothy Karen Nelder M.d. 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 ID2860499829
PECOS Enrollment IDI20181003002097, I20241218001789
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.

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.
282 services145 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.
126 services77 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
105 services85 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.
75 services59 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
32 services24 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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Charlevoix Area Hospital

Critical Access Hospitals · Charlevoix, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231322
Location14700 Lakeshore DriveCharlevoix, MI 49720 · Charlevoix County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31545 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers18 claims60 services$6.17 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.

CYNTHIA J WESTBERRY MD PC
Internal Medicine
930 S 1ST ST
JESUP, GA 31545
Wayne County (912) 385-2702
LINDSEY ANN ROWLEY MD
Internal Medicine
930 S 1ST ST
JESUP, GA 31545
Wayne County (912) 559-2337
CYNTHIA J WESTBERRY MD
Internal Medicine
930 S 1ST ST
JESUP, GA 31545
Wayne County (912) 385-2702

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 Dorothy Nelder's NPI number?

The NPI number for Dorothy Nelder is 1285695338. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Dorothy Nelder located?

Dorothy Nelder practices at 930 S 1st St, Jesup, GA 31545. The listed phone number is (912) 427-7790.

What is Dorothy Nelder's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dorothy Nelder enrolled in Medicare?

Yes. Dorothy Nelder 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 Dorothy Nelder accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas, Inc. and McLaren Health Plan Community and 1 other insurer list Dorothy Nelder 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 Dorothy Nelder affiliated with any hospitals?

According to CMS data, Dorothy Nelder is affiliated with Kalkaska Memorial Health Center and Charlevoix Area Hospital.

When was this NPI record last updated?

The NPPES record for Dorothy Nelder was last updated on July 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.