DR. PETER S NELSON D.D.S.
NPI 1508196437
Dentist - Oral and Maxillofacial Surgery in Glendale, AZ

Q: What is Peter Nelson's NPI number?

The NPI number for Peter Nelson is 1508196437. It was assigned to this individual provider in the NPPES registry on December 25, 2009.

Q: What is Peter Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Peter Nelson enrolled in Medicare?

No. Peter Nelson has opted out of Medicare through September 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Peter Nelson was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 25, 2009Opted out of Medicare · through Sep 2, 2027

5750 W THUNDERBIRD RD STE H850, GLENDALE, AZ 85306(602) 938-0880(602) 547-0528 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Peter S Nelson D.d.s. NPPES

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

DR. PETER S NELSON D.D.S. (NPI 1508196437) is an individual oral and maxillofacial surgery provider in Glendale, Arizona, licensed in Arizona (9095) and active in the NPI registry since December 2009. He has opted out of Medicare through September 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1508196437

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameDR. PETER S NELSONCredential: D.D.S.

Location Address5750 W THUNDERBIRD RD STE H850Glendale, AZ 85306-4694

Mailing Address5750 W Thunderbird Rd Ste H850Glendale, AZ 85306-4694 · (402) 990-3457

Phone(602) 938-0880

Fax(602) 547-0528

Sole ProprietorNo

Enumeration DateDecember 25, 2009

Last NPPES UpdateApril 12, 2024

NPPES CertifiedApril 12, 2024

✔ NPI 1508196437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in AZ · 9095✔ Licensed in NY · AB3433531218

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5750 W THUNDERBIRD RD STE H850, Glendale, AZ 85306

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Peter S Nelson D.d.s. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 2, 2015 through September 2, 2027.

Opt-Out Effective DateSeptember 2, 2015

Opt-Out In Effect ThroughSeptember 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85306 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 $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

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 Peter Nelson's NPI number?

The NPI number for Peter Nelson is 1508196437. It was assigned to this individual provider in the NPPES registry on December 25, 2009.

Where is Peter Nelson located?

Peter Nelson practices at 5750 W Thunderbird Rd Ste H850, Glendale, AZ 85306. The listed phone number is (602) 938-0880.

What is Peter Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Peter Nelson enrolled in Medicare?

No. Peter Nelson has opted out of Medicare through September 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Peter Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Peter 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.

When was this NPI record last updated?

The NPPES record for Peter Nelson was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.