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DR. THEODORE READ NELSON DDS
NPI 1316190804
Dentist - General Practice in Lancaster, MA

Active since October 28, 2008PECOS Enrolled
387 STERLING ST, LANCASTER, MA 01523(978) 365-5302 Get Directions Write a Review

NPPES record last updated: October 28, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Read Nelson Dds NPPES

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

DR. THEODORE READ NELSON DDS (NPI 1316190804) is an individual general practice provider in Lancaster, Massachusetts, licensed in Massachusetts (16384) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316190804
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE READ NELSONCredential: DDS
Location Address387 STERLING STLancaster, MA 01523-1843
Mailing AddressPo Box 603Lancaster, MA 01523-0603 · (978) 365-5302
Phone(978) 365-5302
Sole ProprietorNo
Enumeration DateOctober 28, 2008
✔ NPI 1316190804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MA · 16384
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
387 STERLING ST, Lancaster, MA 01523
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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 (PECOS)

Dr. Theodore Read Nelson Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01523 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

Other Providers at the Same Location NPPES

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

LANCASTER FAMILY DENTAL, LLC
Clinic/Center (Dental)
387 STERLING ST
LANCASTER, MA 01523
Worcester County (978) 365-5302

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 Theodore Nelson's NPI number?

The NPI number for Theodore Nelson is 1316190804. It was assigned to this individual provider in the NPPES registry on October 28, 2008.

Where is Theodore Nelson located?

Theodore Nelson practices at 387 Sterling St, Lancaster, MA 01523. The listed phone number is (978) 365-5302.

What is Theodore Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Theodore Nelson enrolled in Medicare?

Yes. Theodore Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Nelson was last updated on October 28, 2008. 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.