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BENJAMIN SHAW NELSON
NPI 1609239664
Surgery in Boston, MA

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
88 E NEWTON ST, C515, BOSTON, MA 02118(617) 638-8442(617) 638-8409 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2021, Jul 1, 2016, Mar 29, 2016 (3 updates tracked since 2016).

About Benjamin Shaw Nelson NPPES

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

BENJAMIN SHAW NELSON (NPI 1609239664) is an individual surgery provider in Boston, Massachusetts, licensed in Massachusetts (267551) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Waldo County General Hospital, and maintains a secondary practice location in Belfast.

NPPES Registry Identity

NPI1609239664
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBENJAMIN SHAW NELSON
Location Address88 E NEWTON ST, C515Boston, MA 02118-2308
Mailing Address88 E Newton St, C515Boston, MA 02118-2308 · (617) 638-8442 · Fax (617) 638-8409
Phone(617) 638-8442
Fax(617) 638-8409
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateMarch 4, 20213 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1609239664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in MA · 267551✔ Licensed in ME · MD24311
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.
88 E NEWTON ST, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Location 1

Location 116 Fahy StBelfast, ME 04915-6029 · Phone (978) 500-6951

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Benjamin Shaw 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 ID941595599
PECOS Enrollment IDI20210908002303
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.

Hospital Affiliations CMS Care Compare

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

Waldo County General Hospital

Critical Access Hospitals · Belfast, ME
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201312
Location118 Northport AveBelfast, ME 04915 · Waldo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02118 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
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.

STEPHANIE L REDMOND PA-C
Physician Assistant
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8413
TRUSTEES OF BOSTON UNIVERSITY
Dentist (Oral and Maxillofacial Surgery)
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (866) 390-1815
INDEPENDENCE RADIOLOGY ASSOCIATES, PC
Radiology (Diagnostic Radiology)
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-6610
YE M TUN M.D
Internal Medicine (Nephrology)
88 E NEWTON ST, BOSTON MEDICAL CENTER
BOSTON, MA 02118
Suffolk County (617) 638-7322
ALEXANDER MARK DEKEL M.D.
Anesthesiology
88 E NEWTON ST, ROOM 2817A
BOSTON, MA 02118
Suffolk County (617) 638-6975
BOSTON UNIVERSITY CARDIAC & THORACIC SURGICAL FOUNDATION, INC.
General Acute Care Hospital
88 E NEWTON ST, ROBINSON B402
BOSTON, MA 02118
Suffolk County (617) 638-7350
DR. PAVAN M SEKHAR MD
Anesthesiology
88 E NEWTON ST
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. LINDSAY ARNOLD PHARM D
Pharmacist (Pharmacotherapy)
88 E NEWTON ST, DEPARTMENT OF PHARMACY H2606
BOSTON, MA 02118
Suffolk County (617) 638-7598

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 Benjamin Nelson's NPI number?

The NPI number for Benjamin Nelson is 1609239664. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Benjamin Nelson located?

Benjamin Nelson practices at 88 E Newton St C515, Boston, MA 02118. The listed phone number is (617) 638-8442.

What is Benjamin Nelson's specialty?

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

Is Benjamin Nelson enrolled in Medicare?

Yes. Benjamin 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 Benjamin Nelson accept?

Health plans from Harvard Pilgrim Health Care list Benjamin 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 Benjamin Nelson affiliated with any hospitals?

According to CMS data, Benjamin Nelson is affiliated with Waldo County General Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Nelson was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.