MATTHEW TANNER NELSON DO
NPI 1295120921
Emergency Medicine in Owensboro, KY

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
1201 PLEASANT VALLEY RD, OWENSBORO, KY 42303(270) 417-2000 Get Directions Write a Review

NPPES record last updated: November 27, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 27, 2019, Mar 17, 2018 (2 updates tracked since 2018).

About Matthew Tanner Nelson Do NPPES

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

MATTHEW TANNER NELSON DO (NPI 1295120921) is an individual emergency medicine provider in Owensboro, Kentucky, licensed in Pennsylvania (OS019090) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Regional Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295120921
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMATTHEW TANNER NELSONCredential: DO
Location Address1201 PLEASANT VALLEY RDOwensboro, KY 42303-9811
Mailing Address3007 Autumn Lake CvOwensboro, KY 42303-4464 · (270) 625-8178
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateNovember 27, 20192 updates tracked since enumeration
✔ NPI 1295120921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OS019090✔ Licensed in KY · 04493
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1201 PLEASANT VALLEY RD, Owensboro, KY 42303

Secondary Practice Locations 2

Location 149 Prince StHarrisburg, PA 17109-3113 · Phone (717) 901-3440 · Fax (717) 901-3447
Location 2325 S Belmont StYork, PA 17403-2608 · Phone (717) 843-8623

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

Matthew Tanner Nelson Do 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 ID648539502
PECOS Enrollment IDI20190626003784
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
202 services196 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
173 services157 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
169 services160 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
65 services63 patients

Hospital Affiliations CMS Care Compare

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

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42303 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%571 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%29 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
4%147 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
40%147 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
3%147 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
10%147 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$17.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$94.98 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 20

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

Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Psychiatry & Neurology (Psychiatry)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Physician Assistant
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Internal Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Emergency Medicine
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Internal Medicine (Cardiovascular Disease)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303
Nurse Practitioner (Family)
1201 PLEASANT VALLEY RD
OWENSBORO, KY 42303

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 Matthew Nelson's NPI number?

The NPI number for Matthew Nelson is 1295120921. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Matthew Nelson located?

Matthew Nelson practices at 1201 Pleasant Valley Rd, Owensboro, KY 42303. The listed phone number is (270) 417-2000.

What is Matthew Nelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Matthew Nelson enrolled in Medicare?

Yes. Matthew 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.

Is Matthew Nelson affiliated with any hospitals?

According to CMS data, Matthew Nelson is affiliated with Owensboro Health Regional Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Nelson was last updated on November 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.