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LEONARD D NELSON JR. MD
NPI 1326041104
Orthopaedic Surgery in Raleigh, NC

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
3001 EDWARDS MILL RD, RALEIGH, NC 27612(919) 781-5600(919) 863-6856 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 23, 2017, Sep 14, 2016 (2 updates tracked since 2016).

About Leonard D Nelson Jr. Md NPPES

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

LEONARD D NELSON JR. MD (NPI 1326041104) is an individual orthopaedic surgery provider in Raleigh, North Carolina, licensed in North Carolina (38816) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Wake Forest University School Of Medicine (1984).

NPPES Registry Identity

NPI1326041104
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLEONARD D NELSON JR.Credential: MD
Location Address3001 EDWARDS MILL RDRaleigh, NC 27612-5243
Mailing Address3001 Edwards Mill RdRaleigh, NC 27612-5243 · (919) 781-5600 · Fax (919) 863-6856
Phone(919) 781-5600
Fax(919) 863-6856
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1984
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 23, 20172 updates tracked since enumeration
✔ NPI 1326041104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NC · 38816
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Orthopaedic Surgery of the SpineTaxonomy 207XS0117X · License 38816 (NC)
3001 EDWARDS MILL RD, Raleigh, NC 27612
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Other Identifiers 2

Other1326041104NC · Npi
Medicare UPIND05488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Leonard D Nelson Jr. Md 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 ID8022911635
PECOS Enrollment IDI20100225000522
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 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
21 services20 patients
Treatment of broken neck of thigh bone with bone implant 27245
This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
Improvement Activities40

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.
84%50 patients4/55-star benchmark: 100%
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.
94%85 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.
61%88 patients3/55-star benchmark: 99%
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…
24%88 patients1/55-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…
17%88 patients2/55-star benchmark: 59%
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 20

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

BRADLEY K VAUGHN MD
Orthopaedic Surgery
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-5600
TIFFANY S STEPHENS PA-C
Physician Assistant
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
GEORGE HADLEY CALLAWAY MD
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
CHRISTIAN DALE SELBY PA-C, ATC
Physician Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-5600
DAVID W BOONE MD
Orthopaedic Surgery
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 781-5600
ERIC LEWIS PTA
Physical Therapy Assistant
3001 EDWARDS MILL RD, 300
RALEIGH, NC 27612
Wake County (919) 781-5600
MICHAEL MORAVEK
Physical Therapy Assistant
3001 EDWARDS MILL RD
RALEIGH, NC 27612
Wake County (919) 781-5600
MR. FRANK SKIFF JANNOTTA MPT
Physical Therapist
3001 EDWARDS MILL RD, SUITE 200
RALEIGH, NC 27612
Wake County (919) 719-3070

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 Leonard Nelson's NPI number?

The NPI number for Leonard Nelson is 1326041104. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Leonard Nelson located?

Leonard Nelson practices at 3001 Edwards Mill Rd, Raleigh, NC 27612. The listed phone number is (919) 781-5600.

What is Leonard Nelson's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Leonard Nelson enrolled in Medicare?

Yes. Leonard 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 Leonard Nelson accept?

Health plans from Blue Cross and Blue Shield of NC list Leonard 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.

Is Leonard Nelson affiliated with any hospitals?

According to CMS data, Leonard Nelson is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Leonard Nelson was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.