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LORI ELIZABETH NELSON M.D.
NPI 1306011135
Physical Medicine & Rehabilitation - Pain Medicine in Bethesda, MD

Active since April 23, 2008PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
6410 ROCKLEDGE DR, SUITE 600, BETHESDA, MD 20817(301) 581-8030(301) 581-8031 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lori Elizabeth Nelson M.d. NPPES

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

LORI ELIZABETH NELSON M.D. (NPI 1306011135) is an individual pain medicine provider in Bethesda, Maryland, licensed in Maryland (D75116) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2004).

NPPES Registry Identity

NPI1306011135
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameLORI ELIZABETH NELSONCredential: M.D.
Location Address6410 ROCKLEDGE DR, SUITE 600Bethesda, MD 20817-1809
Mailing Address102 Irving St Nw, First FloorWashington, DC 20010-2921 · (202) 877-1621 · Fax (202) 829-2632
Phone(301) 581-8030
Fax(301) 581-8031
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2004
Enumeration DateApril 23, 2008
Last NPPES UpdateMay 27, 2025
✔ NPI 1306011135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Licenses✔ Licensed in MD · D75116✔ Licensed in PA · MD435220✔ Licensed in VA · 0101249480
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
6410 ROCKLEDGE DR, Bethesda, MD 20817
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Other Identifiers 1

Medicaid102397704-0001PA

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

Lori Elizabeth 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 ID9638233158
PECOS Enrollment IDI20250411001541
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 Reassignments

2

Medicare enrollment records show Lori Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medstar Medical Group II LLC
8.3 mi
Critical Care Medicine
3800 RESERVOIR RD NW
Washington, DC 20007
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
NPI 1205562816 (703) 558-1403
Southern California Permanente Medical Group
2,231 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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 7

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
199 services113 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.
97 services97 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
37 services33 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
32 services22 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
32 services22 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484
This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.
24 services21 patients

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

KATHLEEN ANN ALBERT OT
Occupational Therapist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Montgomery County (301) 581-8051
METRO ACUPUNCTURE WELLNESS CLINIC PLLC
Acupuncturist
6410 ROCKLEDGE DR, SUITE 310
BETHESDA, MD 20817
Montgomery County (301) 787-4842
DR. TUNG N DAO M.D.
Internal Medicine (Cardiovascular Disease)
6410 ROCKLEDGE DR, STE 200
BETHESDA, MD 20817
Montgomery County (301) 897-5301
VICTOR M PRIEGO M.D.
Internal Medicine (Medical Oncology)
6410 ROCKLEDGE DR, SUITE 660
BETHESDA, MD 20817
Montgomery County (301) 571-0019
ELIZABETH THOMPSON SLP
Speech-Language Pathologist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Montgomery County (301) 581-8054
CHIN-HUA WANG
Specialist/Technologist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Montgomery County (301) 581-8054
CHRISTINE GROSSNICKEL PT
Physical Therapist
6410 ROCKLEDGE DR, NRH REGIONAL REHAB - SUITE 600
BETHESDA, MD 20817
Montgomery County (301) 581-8054
JILL LESLIE TENDER MSPT
Physical Therapist
6410 ROCKLEDGE DR, SUITE 301
BETHESDA, MD 20817
Montgomery County (301) 897-0357

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 Lori Nelson's NPI number?

The NPI number for Lori Nelson is 1306011135. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Lori Nelson located?

Lori Nelson practices at 6410 Rockledge Dr Suite 600, Bethesda, MD 20817. The listed phone number is (301) 581-8030.

What is Lori Nelson's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Lori Nelson enrolled in Medicare?

Yes. Lori 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 organizations bill Medicare for Lori Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lori Nelson reassigns Medicare benefits to 2 organizations: Medstar Medical Group II LLC (Washington, DC) and Southern California Permanente Medical Group (Hemet, CA). Each 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 Lori Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lori Nelson was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.