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SEAN THOMAS NELSON PA-C
NPI 1306572888
Physician Assistant in San Diego, CA

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
4849 RONSON CT STE 217, SAN DIEGO, CA 92111(858) 279-1212 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sean Thomas Nelson Pa-c NPPES

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

SEAN THOMAS NELSON PA-C (NPI 1306572888) is an individual physician assistant in San Diego, California, licensed in California (61103) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306572888
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameSEAN THOMAS NELSONCredential: PA-C
Location Address4849 RONSON CT STE 217San Diego, CA 92111-1805
Mailing Address5692 Delano AveSan Diego, CA 92120-2906 · (619) 723-1823
Phone(858) 279-1212
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 27, 2022
NPPES CertifiedJuly 26, 2022
✔ NPI 1306572888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 61103
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4849 RONSON CT STE 217, San Diego, CA 92111
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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

Sean Thomas Nelson Pa-c 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 ID4688057300
PECOS Enrollment IDI20220812002727
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 11

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
1,523 services246 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
394 services131 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.
354 services196 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
117 services117 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
108 services108 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
47 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92111 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Reported Quality Measures

Breast Cancer Screening
9%32 patients1/55-star benchmark: 93%
Controlling High Blood Pressure
69%61 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
0%32 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
19%32 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
98%1,380 patients4/55-star benchmark: 100%
e-Prescribing
98%238 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%181 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
29%95 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%67 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
39%413 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 193 patients
0%193 patients
Provide Patients Electronic Access to Their Health Information
90%139 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%47 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 10% · 172 patients
Patients totalRate: 17% · 186 patients
12%186 patients3/55-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 2

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

JOYCE BARUELA FNP-C
Nurse Practitioner (Family)
4849 RONSON CT STE 217
SAN DIEGO, CA 92111
San Diego County (858) 279-1212
MRS. ABOSEDE AKINYEMI
Nurse Practitioner (Family)
4849 RONSON CT STE 217
SAN DIEGO, CA 92111
San Diego County (858) 279-1212

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 Sean Nelson's NPI number?

The NPI number for Sean Nelson is 1306572888. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Sean Nelson located?

Sean Nelson practices at 4849 Ronson Ct Ste 217, San Diego, CA 92111. The listed phone number is (858) 279-1212.

What is Sean Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Sean Nelson enrolled in Medicare?

Yes. Sean 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.

When was this NPI record last updated?

The NPPES record for Sean Nelson was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.