DANIEL NELSON
NPI 1558895227
Ophthalmology in New Orleans, LA

Active since April 19, 2017PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121(504) 842-3995(504) 842-5970 Get Directions Write a Review

NPPES record last updated: August 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2023, Jun 10, 2021, Apr 19, 2017 (3 updates tracked since 2017).

About Daniel Nelson NPPES

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

DANIEL NELSON (NPI 1558895227) is an individual ophthalmology provider in New Orleans, Louisiana, licensed in Louisiana (336561) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1558895227
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDANIEL NELSON
Location Address1514 JEFFERSON HWYNew Orleans, LA 70121-2429
Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000
Fax(504) 842-5970
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2017
Enumeration DateApril 19, 2017
Last NPPES UpdateAugust 27, 20233 updates tracked since enumeration
NPPES CertifiedAugust 27, 2023
NPI 1558895227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in LA · 336561 Licensed in GA · 88477
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1514 JEFFERSON HWY, New Orleans, LA 70121

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 251-8796

Accepted 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

Daniel Nelson 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 ID5597035451
PECOS Enrollment IDI20230911001569
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 5

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
85 services54 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.
32 services24 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.
17 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
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.

Internal Medicine (Clinical Cardiac Electrophysiology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Surgery
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Pediatrics, Critical Care)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Hematology & Oncology)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Practitioner (Pediatrics)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Nurse Anesthetist, Certified Registered
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121
Internal Medicine (Cardiovascular Disease)
1514 JEFFERSON HWY
NEW ORLEANS, LA 70121

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 Daniel Nelson's NPI number?

The NPI number for Daniel Nelson is 1558895227. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Daniel Nelson located?

Daniel Nelson practices at 1514 Jefferson Hwy, New Orleans, LA 70121. The listed phone number is (504) 842-3995.

What is Daniel Nelson's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Daniel Nelson enrolled in Medicare?

Yes. Daniel 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 Daniel Nelson accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Daniel 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 Daniel Nelson affiliated with any hospitals?

According to CMS data, Daniel Nelson is affiliated with Ochsner Medical Center Acute.

When was this NPI record last updated?

The NPPES record for Daniel Nelson was last updated on August 27, 2023. 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.