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ROBERT SCOTT NELSON M.D.
NPI 1407972524
Family Medicine in Berlin, VT

Active since March 21, 2007PECOS EnrolledAccepts Medicare Assignment
130 FISHER RD, HOSPITALIST DEPARTMENT, BERLIN, VT 05602(802) 225-1743(802) 225-1745 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert Scott Nelson M.d. NPPES

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

ROBERT SCOTT NELSON M.D. (NPI 1407972524) is an individual family medicine provider in Berlin, Vermont, licensed in Vermont (0420011522) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of New York Medical College (2005).

NPPES Registry Identity

NPI1407972524
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT SCOTT NELSONCredential: M.D.
Location Address130 FISHER RD, HOSPITALIST DEPARTMENTBerlin, VT 05602-9516
Mailing AddressPo Box 547, Central Vermont Medical Center - Finance DeptBarre, VT 05641-0547 · (802) 225-1743 · Fax (802) 225-1745
Phone(802) 225-1743
Fax(802) 225-1745
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2005
Enumeration DateMarch 21, 2007
Last NPPES UpdateMay 20, 2014
✔ NPI 1407972524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VT · 0420011522
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 042-0011522 (VT)
Also ListedHospitalistTaxonomy 208M00000X · License 042-0011522 (VT)
130 FISHER RD, Berlin, VT 05602
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Other Identifiers 2

Medicaid1014822VT
Medicare PIN000627701

Accepted Insurance

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

Robert Scott Nelson 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 ID3274608823
PECOS Enrollment IDI20080818000336
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
243 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
105 services99 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
89 services62 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
86 services53 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
53 services51 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
34 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470001
LocationBox 547Barre, VT 05641 · Washington County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05602 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 services$108.63 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.

DAVID INDENBAUM MD
Emergency Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4263
DEVIKA SINGH M.D.
Internal Medicine
130 FISHER RD, MOB-B SUITE 3
BERLIN, VT 05602
Washington County (802) 225-5400
CENTRAL VERMONT MEDICAL CENTER INC
Family Medicine
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
DR. RICHARD GERALD TAYLOR M.D.
Emergency Medicine
130 FISHER RD, CENTRAL VERMONT MEDICAL CENTER - EMERGENCY MEDICINE
BARRE, VT 05602
Washington County (802) 371-4100
MS. JESSICA LEIGH OLIVE PT
Physical Therapist
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-5909
BRETT ERDREICH
Internal Medicine (Pulmonary Disease)
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 371-4100
JACQUELINE GALLAGHER PA
Physician Assistant
130 FISHER RD, EMERGENCY DEPT
BERLIN, VT 05602
Washington County (802) 371-4365
ROBERT R DAVIDSON PA-C
Physician Assistant
130 FISHER RD
BERLIN, VT 05602
Washington County (802) 225-7000

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 Robert Nelson's NPI number?

The NPI number for Robert Nelson is 1407972524. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Robert Nelson located?

Robert Nelson practices at 130 Fisher Rd Hospitalist Department, Berlin, VT 05602. The listed phone number is (802) 225-1743.

What is Robert Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Nelson enrolled in Medicare?

Yes. Robert 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 Robert Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert 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 Robert Nelson affiliated with any hospitals?

According to CMS data, Robert Nelson is affiliated with Mary Hitchcock Memorial Hospital, Central Vermont Medical Center and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Robert Nelson was last updated on May 20, 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.