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NELSON R MALDONADO M.D.
NPI 1508921305
Surgery in Grass Valley, CA

Active since December 22, 2006PECOS EnrolledAccepts Medicare Assignment
150 CATHERINE LN, SUITE G, GRASS VALLEY, CA 95945(530) 477-0931(530) 477-0934 Get Directions Write a Review

NPPES record last updated: April 12, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nelson R Maldonado M.d. NPPES

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

NELSON R MALDONADO M.D. (NPI 1508921305) is an individual surgery provider in Grass Valley, California, licensed in California (G53915) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of University Of California, Irvine, California College Of Medicine (1983).

NPPES Registry Identity

NPI1508921305
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameNELSON R MALDONADOCredential: M.D.
Location Address150 CATHERINE LN, SUITE GGrass Valley, CA 95945-5719
Mailing AddressPo Box 2618Grass Valley, CA 95945-2618 · (530) 477-0931 · Fax (530) 477-0934
Phone(530) 477-0931
Fax(530) 477-0934
Sole ProprietorYes
Medical School CMSUniversity Of California, Irvine, California College Of MedicineGraduated 1983
Enumeration DateDecember 22, 2006
Last NPPES UpdateApril 12, 2012
✔ NPI 1508921305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · G53915
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.
150 CATHERINE LN, Grass Valley, CA 95945
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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 R Maldonado 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 ID2466403555
PECOS Enrollment IDI20050316000473
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 10

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
72 services55 patients
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.
49 services43 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
45 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance 36466
This procedure involves injecting a special chemical into problematic veins in your leg, using ultrasound technology to accurately target the veins. This helps to reduce issues like pain and swelling by improving blood flow in the leg.
34 services17 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95945 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
12%100 patients1/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
10%199 patients1/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
87%773 patients3/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%29 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%87 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
29%158 patients2/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%341 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
62%158 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%158 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUTH ELIZABETH CUTTER N.P.
Nurse Practitioner (Family)
150 CATHERINE LN, SUITE I
GRASS VALLEY, CA 95945
Nevada County (530) 274-4111
DR. SIMON CHI YAN CHAN M.D.
Internal Medicine
150 CATHERINE LN, SUITE F
GRASS VALLEY, CA 95945
Nevada County (530) 477-9100
STEPHEN K WATERBROOK MD INC
Surgery
150 CATHERINE LN, SUITE J
GRASS VALLEY, CA 95945
Nevada County (530) 272-2257
NEWSOM & FITZPATRICK MEDICAL GROUP INC
Internal Medicine
150 CATHERINE LN, SUITE G
GRASS VALLEY, CA 95945
Nevada County (530) 271-2225
MRS. SUSAN DYER CLAYDON N.P.
Nurse Practitioner (Family)
150 CATHERINE LN, SUITE B
GRASS VALLEY, CA 95945
Nevada County (530) 271-2100
MRS. ROBIN ELAINE PETERSEN RN FNP
Nurse Practitioner
150 CATHERINE LN, # D
GRASS VALLEY, CA 95945
Nevada County (530) 477-8358
DR. MINOR E. WARD M.D.
Surgery
150 CATHERINE LN, SUITE J
GRASS VALLEY, CA 95945
Nevada County (530) 272-2257
NELSON R. MALDONADOM.D.,INC.
Surgery
150 CATHERINE LN, SUITE G
GRASS VALLEY, CA 95945
Nevada County (530) 477-0931

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 Maldonado's NPI number?

The NPI number for Nelson Maldonado is 1508921305. It was assigned to this individual provider in the NPPES registry on December 22, 2006.

Where is Nelson Maldonado located?

Nelson Maldonado practices at 150 Catherine Ln Suite G, Grass Valley, CA 95945. The listed phone number is (530) 477-0931.

What is Nelson Maldonado's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nelson Maldonado enrolled in Medicare?

Yes. Nelson Maldonado 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.

When was this NPI record last updated?

The NPPES record for Nelson Maldonado was last updated on April 12, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.