DR. JEFFERY MICHAEL NELSON MD
NPI 1326122573
Surgery in Washington, DC
About Dr. Jeffery Michael Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFERY MICHAEL NELSON MD (NPI 1326122573) is an individual surgery provider in Washington, District Of Columbia, licensed in Utah (292541-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of University Of Utah School Of Medicine (1993).
NPPES Registry Identity
Specialties & Licenses 2
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
Dr. Jeffery Michael Nelson 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.
Medicare Billing Reassignment
Medicare enrollment records show Jeffery Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21202
- Reassigned Medicare billing, Maryland enrollment
- 423 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Medical Center Inc
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20307 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 7
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
WASHINGTON, DC 20307
WASHINGTON, DC 20307
WASHINGTON, DC 20307
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 Jeffery Nelson's NPI number?
The NPI number for Jeffery Nelson is 1326122573. It was assigned to this individual provider in the NPPES registry on October 24, 2006.
Where is Jeffery Nelson located?
Jeffery Nelson practices at 6900 Georgia Ave NW, Washington, DC 20307. The listed phone number is (202) 782-9691.
What is Jeffery Nelson's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jeffery Nelson enrolled in Medicare?
Yes. Jeffery 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 organization bills Medicare for Jeffery Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffery Nelson reassigns Medicare benefits to St Paul Place Specialists, Inc. (Baltimore, MD). The 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 Jeffery Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jeffery Nelson affiliated with any hospitals?
According to CMS data, Jeffery Nelson is affiliated with Mercy Medical Center Inc.
When was this NPI record last updated?
The NPPES record for Jeffery Nelson was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Dr. Jeffery Michael Nelson, MD · NPI 1326122573
Surgery physician in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since October 24, 2006.
## Identity
- **NPI:** 1326122573 (Entity type: Individual)
- **Enumerated:** October 24, 2006
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 292541-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 6900 GEORGIA AVE NW, Washington, DC 20307-0003
- **Phone:** (202) 782-9691
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** St Paul Place Specialists, Inc. (NPI 1174564736, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Utah School Of Medicine, class of 1993
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1326122573) · Data from the CMS NPPES public registry.