GARRETT JAMES NELSON M.D.
NPI 1295098440
Dermatology in Little Rock, AR

Active since June 22, 2012PECOS EnrolledAccepts Medicare Assignment
98.7/100
CMS Quality Rating
9601 BAPTIST HEALTH DR STE 690, LITTLE ROCK, AR 72205(501) 227-8422 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2020, Sep 2, 2020, Jul 8, 2020 and 2 more (5 updates tracked since 2017).

About Garrett James Nelson M.d. NPPES

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

GARRETT JAMES NELSON M.D. (NPI 1295098440) is an individual dermatology provider in Little Rock, Arkansas, licensed in Arkansas (E9601) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Arkansas College Of Medicine (2012).

NPPES Registry Identity

NPI1295098440
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameGARRETT JAMES NELSONCredential: M.D.
Location Address9601 BAPTIST HEALTH DR STE 690Little Rock, AR 72205-6328
Mailing Address9601 Baptist Health Dr Ste 690Little Rock, AR 72205-6328 · (501) 227-8422
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2012
Enumeration DateJune 22, 2012
Last NPPES UpdateOctober 28, 20205 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
NPI 1295098440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in AR · E9601
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
9601 BAPTIST HEALTH DR STE 690, Little Rock, AR 72205

Accepted 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

Garrett James 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 ID2567754880
PECOS Enrollment IDI20160707000634
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 52

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
3,593 services521 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.
1,297 services825 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
943 services626 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
743 services610 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
719 services453 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
515 services412 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

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.

98.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.41
Improvement Activities40

Reported Quality Measures

Advance Care Plan
96%1,472 patients4/55-star benchmark: 100%
Melanoma: Continuity of Care - Recall System
100%229 patients
Melanoma: Coordination of Care
100%173 patients
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 54% · 921 patients
Patients screened: 55% · 921 patients
36%28 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%20 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 4

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

Dermatology
9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK, AR 72205
Dermatology
9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK, AR 72205
Dermatology
9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK, AR 72205
Physician Assistant (Medical)
9601 BAPTIST HEALTH DR STE 690
LITTLE ROCK, AR 72205

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 Garrett Nelson's NPI number?

The NPI number for Garrett Nelson is 1295098440. It was assigned to this individual provider in the NPPES registry on June 22, 2012.

Where is Garrett Nelson located?

Garrett Nelson practices at 9601 Baptist Health Dr Ste 690, Little Rock, AR 72205. The listed phone number is (501) 227-8422.

What is Garrett Nelson's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Garrett Nelson enrolled in Medicare?

Yes. Garrett 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 Garrett Nelson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Garrett 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.

When was this NPI record last updated?

The NPPES record for Garrett Nelson was last updated on October 28, 2020. 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.