DR. RICHARD L NELSON MD
NPI 1568446177
Pathology - Anatomic Pathology & Clinical Pathology in Ravenna, OH
About Dr. Richard L Nelson Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RICHARD L NELSON MD (NPI 1568446177) is an individual anatomic pathology & clinical pathology provider in Ravenna, Ohio, licensed in Ohio (35071872N) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Parma Community General Hospital, and is a graduate of Northeastern Ohio University College Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Richard L Nelson Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Richard Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Streetsboro, OH 44241
- Reassigned Medicare billing, Ohio enrollment
- 1,437 clinicians in this Medicare group
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Parma Community General Hospital
Acute Care Hospitals · Parma, OHUniversity Hospitals Portage Medical Center
Acute Care Hospitals · Ravenna, OHUh St John Medical Center
Acute Care Hospitals · Westlake, OHUh Cleveland Medical Center
Acute Care Hospitals · Cleveland, OHUniversity Hospitals - Elyria Medical Center
Acute Care Hospitals · Elyria, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
RAVENNA, OH 44266
RAVENNA, OH 44266
RAVENNA, OH 44266
RAVENNA, OH 44266
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 Richard Nelson's NPI number?
The NPI number for Richard Nelson is 1568446177. It was assigned to this individual provider in the NPPES registry on December 6, 2005.
Where is Richard Nelson located?
Richard Nelson practices at 6847 N Chestnut St, Ravenna, OH 44266. The listed phone number is (330) 297-2528.
What is Richard Nelson's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Richard Nelson enrolled in Medicare?
Yes. Richard 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.
Which organizations bill Medicare for Richard Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Nelson reassigns Medicare benefits to 2 organizations: University Primary Care Practices, Inc. (Streetsboro, OH) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Richard Nelson accept?
Health plans from CareSource list Richard 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 Richard Nelson affiliated with any hospitals?
According to CMS data, Richard Nelson is affiliated with Parma Community General Hospital, University Hospitals Portage Medical Center, Uh St John Medical Center, Uh Cleveland Medical Center and University Hospitals - Elyria Medical Center.
When was this NPI record last updated?
The NPPES record for Richard Nelson was last updated on March 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Richard L Nelson, MD · NPI 1568446177
Anatomic Pathology & Clinical Pathology physician in Ravenna, Ohio. Individual provider, active in the CMS NPPES registry since December 6, 2005.
## Identity
- **NPI:** 1568446177 (Entity type: Individual)
- **Enumerated:** December 6, 2005
- **Primary specialty:** Pathology - Anatomic Pathology & Clinical Pathology · taxonomy 207ZP0102X
- **State license:** 35071872N (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6847 N CHESTNUT ST, Ravenna, OH 44266-3929
- **Phone:** (330) 297-2528
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Primary Care Practices, Inc. (NPI 1992179493, Streetsboro, OH); University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Northeastern Ohio University College Of Medicine, class of 1992
## Record status
- **NPPES last updated:** March 1, 2016
- **Other identifiers:** Medicare PIN 0889171 (OH); Medicare PIN NE0889171 (OH); Medicare UPIN H03165 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1568446177) · Data from the CMS NPPES public registry.