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SCOTT GREGORY NELSON M.D.
NPI 1295061216
Internal Medicine in Minneapolis, MN

Active since October 27, 2009PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
800 E 28TH ST, MINNEAPOLIS, MN 55407(612) 863-6766 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Scott Gregory Nelson M.d. NPPES

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

SCOTT GREGORY NELSON M.D. (NPI 1295061216) is an individual internal medicine provider in Minneapolis, Minnesota, licensed in Minnesota (1234) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1295061216
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSCOTT GREGORY NELSONCredential: M.D.
Location Address800 E 28TH STMinneapolis, MN 55407-3723
Mailing Address800 E 28th StMinneapolis, MN 55407-3723 · (612) 863-6766
Phone(612) 863-6766
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateOctober 27, 2009
✔ NPI 1295061216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MN · 1234
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 E 28TH ST, Minneapolis, MN 55407
Open in Google Maps ↗

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

Scott Gregory Nelson 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 ID7416134135
PECOS Enrollment IDI20110607000206
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 Scott Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allina Health System
Same address
Internal Medicine
800 E 28TH ST
Minneapolis, MN 55407
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1053354985 (612) 863-4762

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 5

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 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.
212 services88 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
35 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55407 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

TAYLOR PETERSON OTR/L
Occupational Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
ANDREW RICHARD ERICKSON CRNA
Nurse Anesthetist, Certified Registered
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JOHN HUNN
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (218) 393-6255
DR. BRANDY KOZITZA DNP, APRN, ACCNS-AG
Physical Medicine & Rehabilitation
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-0879
JACQUELINE MARIE GASPERLIN PA-C
Physician Assistant
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
JULIA ELIZABETH MCNAUGHTON PT, DPT
Physical Therapist
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 863-4000
DONNA A SKOOG NP
Nurse Practitioner (Gerontology)
800 E 28TH ST, H2100
MINNEAPOLIS, MN 55407
Hennepin County (612) 775-3030
ROBERT E MCKLVEEN M.D.
Anesthesiology
800 E 28TH ST
MINNEAPOLIS, MN 55407
Hennepin County (612) 871-7639

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 Scott Nelson's NPI number?

The NPI number for Scott Nelson is 1295061216. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Where is Scott Nelson located?

Scott Nelson practices at 800 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 863-6766.

What is Scott Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Scott Nelson enrolled in Medicare?

Yes. Scott 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 organization bills Medicare for Scott Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Nelson reassigns Medicare benefits to Allina Health System (Minneapolis, MN). 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 Scott Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Scott Nelson affiliated with any hospitals?

According to CMS data, Scott Nelson is affiliated with Allina United Hospital, Ridgeview Medical Center and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Scott Nelson was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.