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DR. EDWARD REESE NELSON JR. M.D.
NPI 1639111883
Internal Medicine in Fort Worth, TX

Active since June 12, 2006PECOS Enrolled
75.27/100
CMS Quality Rating
1275 W. TERRELL AVE, STE 200, FORT WORTH, TX 76104(817) 250-7035 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 14, 2023, Nov 27, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Edward Reese Nelson Jr. M.d. NPPES

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

DR. EDWARD REESE NELSON JR. M.D. (NPI 1639111883) is an individual internal medicine provider in Fort Worth, Texas, licensed in Texas (D8364) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639111883
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDWARD REESE NELSON JR.Credential: M.D.
Location Address1275 W. TERRELL AVE, STE 200Fort Worth, TX 76104-2822
Mailing Address5450 Clearfork Main St Ste 300Fort Worth, TX 76109-3559 · (817) 334-1400 · Fax (817) 334-1410
Phone(817) 250-7035
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 14, 20235 updates tracked since enumeration
NPPES CertifiedAugust 9, 2023
✔ NPI 1639111883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · D8364
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1275 W. TERRELL AVE, Fort Worth, TX 76104
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Secondary Practice Locations 2

Location 1800 5th Ave, Suite 300Fort Worth, TX 76104-7300 · Phone (817) 334-1400 · Fax (817) 334-1410
Location 25450 Clearfork Main St Ste 300Fort Worth, TX 76109-3559 · Phone (817) 334-1400 · Fax (817) 334-1410

Other Identifiers 2

Medicaid127910106TX
Medicaid127910103TX

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edward Reese Nelson Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Physicians Group
0.2 mi
Internal Medicine
1301 PENNSYLVANIA AVE
Fort Worth, TX 76104
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1174573596 (214) 860-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
Most-billed visit code 99214
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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Reported Quality Measures

Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%137 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$208.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADRIANNE DEEM MD
Obstetrics & Gynecology
1275 W. TERRELL AVE, STE 200
FORT WORTH, TX 76104
Tarrant County (817) 250-7035

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 Edward Nelson's NPI number?

The NPI number for Edward Nelson is 1639111883. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Edward Nelson located?

Edward Nelson practices at 1275 W. Terrell Ave Ste 200, Fort Worth, TX 76104. The listed phone number is (817) 250-7035.

What is Edward Nelson's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Edward Nelson enrolled in Medicare?

Yes. Edward Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Nelson reassigns Medicare benefits to Texas Health Physicians Group (Fort Worth, TX). The 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 Edward Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Nelson was last updated on August 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.