DR. BRIAN S NELSON MD
NPI 1619974318
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Longmont, CO

Q: What is Brian Nelson's NPI number?

The NPI number for Brian Nelson is 1619974318. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Brian Nelson's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Brian Nelson was last updated on September 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

1925 W MOUNTAIN VIEW AVE, LONGMONT, CO 80501(303) 776-1234(720) 494-3107 Get Directions Write a Review

NPPES record last updated: September 27, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Brian S Nelson Md NPPES

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

DR. BRIAN S NELSON MD (NPI 1619974318) is an individual urogynecology and reconstructive pelvic surgery provider in Longmont, Colorado, licensed in Colorado (39414) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (1997).

NPPES Registry Identity

NPI1619974318

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameDR. BRIAN S NELSONCredential: MD

Location Address1925 W MOUNTAIN VIEW AVELongmont, CO 80501-3128

Mailing Address1925 W Mountain View AveLongmont, CO 80501-3128 · (303) 776-1234 · Fax (720) 494-3107

Phone(303) 776-1234

Fax(720) 494-3107

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1997

Enumeration DateJuly 7, 2005

Last NPPES UpdateSeptember 27, 2019

✔ NPI 1619974318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in CO · 39414

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 39414 (CO)

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License DR.0039414 (CO)

1925 W MOUNTAIN VIEW AVE, Longmont, CO 80501

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Other Identifiers 1

Medicaid01878751CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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

Dr. Brian S 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.

PECOS PAC ID7810021292

PECOS Enrollment IDI20100820000545

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 8

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.

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

33 services33 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

30 services30 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.

27 services26 patients

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571

This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.

25 services25 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.

24 services24 patients

Insertion of artificial material for pelvic floor defect 57267

This procedure involves placing a synthetic material in the lower abdomen area to rectify a structural issue. It helps in proper functioning of the body's support system. You may experience improved comfort and stability post-procedure.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80501 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

97.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

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