DR. JEFFERY MICHAEL NELSON MD
NPI 1326122573
Surgery in Washington, DC

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
83.33/100
CMS Quality Rating
6900 GEORGIA AVE NW, WASHINGTON, DC 20307(202) 782-9691 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1326122573
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JEFFERY MICHAEL NELSONCredential: MD
Location Address6900 GEORGIA AVE NWWashington, DC 20307-0003
Mailing Address8615 Far Fields WayLaurel, MD 20723-5886 · (240) 505-8769
Sole ProprietorNo
Medical School CMSUniversity Of Utah School Of MedicineGraduated 1993
Enumeration DateOctober 24, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1326122573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in UT · 292541-1205
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 292541-1205 (UT)
6900 GEORGIA AVE NW, Washington, DC 20307

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

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.

PECOS PAC ID7012194749
PECOS Enrollment IDI20181015000746
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services57 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.
83 services83 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services56 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.
72 services72 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
47 services29 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
47 services44 patients

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, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician 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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

83.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.7
Promoting Interoperability100
Improvement Activities40

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.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
1 supplier14 claims290 services$3.36 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier17 claims430 services$4.92 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
2 suppliers15 claims605 services$8.48 avg. paid by Medicare
Ostomy pouch, drainable, with barrier attached, with filter (1 piece), each A4424
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.22 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers12 claims700 services$0.18 avg. paid by Medicare
Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each A5057
DME-Orthotic Devices · category DF010N
1 supplier18 claims390 services$9.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychologist (Clinical)
6900 GEORGIA AVE NW
WASHINGTON, DC 20307
Occupational Therapist
6900 GEORGIA AVE NW
WASHINGTON, DC 20307
Pediatrics (Pediatric Infectious Diseases)
6900 GEORGIA AVE NW
WASHINGTON, DC 20307
Dietitian, Registered
6900 GEORGIA AVE NW, NUTRITION CARE DIRECTORATE
WASHINGTON, DC 20307
Internal Medicine (Infectious Disease)
6900 GEORGIA AVE NW, BLD 2, WARD 63
WASHINGTON, DC 20307
Military Hospital
6900 GEORGIA AVE NW
WASHINGTON, DC 20307
Pharmacist
6900 GEORGIA AVE NW, #2P02
WASHINGTON, DC 20307
Social Worker (Clinical)
6900 GEORGIA AVE NW
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.

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 11 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.