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NELSON H LIM M.D.
NPI 1366463168
Internal Medicine - Gastroenterology in Gilbert, AZ

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
83/100
CMS Quality Rating
2680 S VAL VISTA DR, SUITE 116, GILBERT, AZ 85295(480) 507-5678(480) 507-5677 Get Directions Write a Review

NPPES record last updated: March 4, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nelson H Lim M.d. NPPES

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

NELSON H LIM M.D. (NPI 1366463168) is an individual gastroenterology provider in Gilbert, Arizona, licensed in Arizona (42036) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2002).

NPPES Registry Identity

NPI1366463168
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameNELSON H LIMCredential: M.D.
Location Address2680 S VAL VISTA DR, SUITE 116Gilbert, AZ 85295-2152
Mailing Address3707 N 7th St Ste 200Phoenix, AZ 85014-5095 · (480) 507-5678 · Fax (480) 507-5677
Phone(480) 507-5678
Fax(480) 507-5677
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2002
Enumeration DateJuly 21, 2006
Last NPPES UpdateMarch 4, 2014
✔ NPI 1366463168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AZ · 42036
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2680 S VAL VISTA DR, Gilbert, AZ 85295
Open in Google Maps ↗

Other Identifiers 5

Medicaid00A879870CA
Medicare UPINI30387
Medicare PINZ130748
Medicare PINZ147550
Medicare ID-Type Unspecified00A879870

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and more.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

Nelson H Lim M.d. 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 ID4385688233
PECOS Enrollment IDI20090817000649
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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
80 services71 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
52 services52 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
46 services46 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.
36 services32 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
32 services32 patients
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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85295 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
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.

83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80
Improvement Activities40

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.

DR. JONATHAN EGAN WOLD OD
Optometrist
2680 S VAL VISTA DR, #111
GILBERT, AZ 85295
Maricopa County (480) 807-0288
JOLE-LANEE GUIDO AGACNP-BC
Nurse Practitioner (Acute Care)
2680 S VAL VISTA DR, SUITE 116
GILBERT, AZ 85295
Maricopa County (480) 507-5678
MRS. JENNIFER M KRAUSE MA, CCC-A
Audiologist
2680 S VAL VISTA DR, BLDG 13, UNIT 175
GILBERT, AZ 85295
Maricopa County (480) 784-0110
ARIZONA ADVANCED ENDOSCOPY LLC
Clinic/Center (Ambulatory Surgical)
2680 S VAL VISTA DR, SUITE 127
GILBERT, AZ 85295
Maricopa County (480) 253-5656
SAN TAN EYECARE PLC
Optometrist
2680 S VAL VISTA DR, SUITE 111
GILBERT, AZ 85295
Maricopa County (480) 807-0288
ARIZONA ADVANCED ANESTHESIA LLC
Anesthesiology
2680 S VAL VISTA DR, SUITE #127
GILBERT, AZ 85295
Maricopa County (480) 253-5656
JAMES MICHAEL REIDY D.O.
Otolaryngology (Plastic Surgery within the Head & Neck)
2680 S VAL VISTA DR, BLDG 13, UNIT 175
GILBERT, AZ 85295
Maricopa County (480) 784-0110
RENOVO CLINIC
Clinic/Center (Health Service)
2680 S VAL VISTA DR, SUITE 187
GILBERT, AZ 85295
Maricopa County (480) 214-5099

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 Nelson Lim's NPI number?

The NPI number for Nelson Lim is 1366463168. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Nelson Lim located?

Nelson Lim practices at 2680 S Val Vista Dr Suite 116, Gilbert, AZ 85295. The listed phone number is (480) 507-5678.

What is Nelson Lim's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nelson Lim enrolled in Medicare?

Yes. Nelson Lim 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 Nelson Lim accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list Nelson Lim 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.

When was this NPI record last updated?

The NPPES record for Nelson Lim was last updated on March 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.