MARK W NELSON MD
NPI 1538140090
Internal Medicine - Rheumatology in San Antonio, TX
NPI Status: Active since November 10, 2005
Contact Information
3338 OAKWELL COURT
SUITE 114
SAN ANTONIO, TX
ZIP 78218
Phone: (210) 656-5000
Fax: (210) 656-7892
- Individual
- Male
- Internal Medicine
- Rheumatology
- PECOS Enrolled
About MARK NELSON
This page provides the complete NPI Profile along with additional information for Mark Nelson, an internist established in San Antonio, Texas with a medical specialization in Internal Medicine, focusing in rheumatology . The healthcare provider is registered in the NPI registry with number 1538140090 assigned on November 2005. The practitioner's primary taxonomy code is 207RR0500X with license number G7857 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1538140090
- Provider Name
- MARK W NELSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3338 OAKWELL COURT SUITE 114 SAN ANTONIO, TX 78218
- Location Phone
- (210) 656-5000
- Location Fax
- (210) 656-7892
- Mailing Address
- 3338 OAKWELL COURT SUITE 114 SAN ANTONIO, TX 78218
- Mailing Phone
- (210) 656-5000
- Mailing Fax
- (210) 656-7892
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-10-2005
- Last Update Date
- 10-22-2007
- Code Navigator
An internist like Mark Nelson is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Rheumatology
- Taxonomy Code
- 207RR0500X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G7857
- License State
- TX
- Taxonomy Description
- An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 114876902 | MEDICAID (05) | TX | |
| 00GD23 | MEDICARE PIN (08) | TX | |
| C19825 | MEDICARE UPIN (02) | TX |
Medicare Participation & PECOS Enrollment Status
Mark Nelson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78218 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.4
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $31.6
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.05
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $24.26
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 1 | 4 | 0 | 0 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 2 | 4 | 0 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 2 + 4 + 0 + 0 + 1 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1538140090 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
DR. GEORGE STEPHEN BEST M.D.
Urology
3338 OAKWELL COURT
SUITE 216
SAN ANTONIO, TX
ZIP 78218
DAVID JAMES SANDERCOCK DO
Family Medicine
3338 OAKWELL COURT
SUITE 107
SAN ANTONIO, TX
ZIP 78218
ALAMO UROLOGY ASSOC.,P.A.
Urology
(Pediatric Urology)
3338 OAKWELL COURT
SUITE 216
SAN ANTONIO, TX
ZIP 78218
DR. JEFFREY STEVEN WERT DDS
Dentist
(Oral and Maxillofacial Surgery)
3338 OAKWELL COURT
#204
SAN ANTONIO, TX
ZIP 78218
DR. JAMES PRESTON COLEMAN III DDS
Dentist
(Oral and Maxillofacial Surgery)
3338 OAKWELL COURT
#204
SAN ANTONIO, TX
ZIP 78218
NORTH SAN ANTONIO HEALTHCARE ASSOCIATES
Family Medicine
3338 OAKWELL COURT
SUITE 107
SAN ANTONIO, TX
ZIP 78218
SAN ANTONIO ORAL SURGERY, P.A.
Dentist
(Oral and Maxillofacial Surgery)
3338 OAKWELL COURT
#204
SAN ANTONIO, TX
ZIP 78218
WALTER WALTHALL MD
Family Medicine
3338 OAKWELL COURT
SUITE 107
SAN ANTONIO, TX
ZIP 78218
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538140090, enumerated as an "individual" on November 10, 2005.
The provider is located at 3338 OAKWELL COURT SUITE 114 SAN ANTONIO, TX 78218 and the phone number is (210) 656-5000.
Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
