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DR. JEFFREY J NELSON MD
NPI 1649433608
Otolaryngology in Bismarck, ND

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
83.98/100
CMS Quality Rating
701 E ROSSER AVE, BISMARCK, ND 58501(701) 323-8922(701) 323-8018 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 14, 2023, Mar 23, 2023 (2 updates tracked since 2023).

About Dr. Jeffrey J Nelson Md NPPES

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

DR. JEFFREY J NELSON MD (NPI 1649433608) is an individual otolaryngology provider in Bismarck, North Dakota, licensed in North Dakota (12499) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1649433608
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. JEFFREY J NELSONCredential: MD
Location Address701 E ROSSER AVEBismarck, ND 58501-4457
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-9419
Phone(701) 323-8922
Fax(701) 323-8018
Sole ProprietorYes
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2004
Enumeration DateJuly 9, 2008
Last NPPES UpdateApril 30, 20252 updates tracked since enumeration
NPPES CertifiedApril 30, 2025
✔ NPI 1649433608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in ND · 12499✔ Licensed in UT · 7643882-1205✔ Licensed in MN · 79716
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
701 E ROSSER AVE, Bismarck, ND 58501
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 E 3rd StDuluth, MN 55805-1951 · Phone (218) 786-8364

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company, Medica and more.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. Jeffrey J 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 ID8527182385
PECOS Enrollment IDI20100831000313, I20121207000178, I20250509001471
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 7

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.

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.
62 services53 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
29 services28 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.
26 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services22 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
20 services17 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
15 services15 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240002
Location402 East Second StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350015
Location300 N 7th StBismarck, ND 58506 · Burleigh County
Emergency services Birthing friendly

Altru Hospital

Acute Care Hospitals · Grand Forks, ND
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number350019
Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$127.45 typical visit price
range $55.75 – $168.12
Typical copayment $31.86 (range $13.93 – $42.03)
Most-billed visit code 99204
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
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.

83.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.28
Promoting Interoperability99
Improvement Activities40
Cost68.15

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.

HAILY DATZ
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
MONIKA POTHAMSETTI MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
GABRIELLE TACHENKO AU.D.
Audiologist
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 323-8550
WILLIAM G FLECK MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
DR. WAAD ANTWAN MATTI HADDAD MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9506
HAJRA FAROOQ MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
DR. KARL VIDDAL M.D.
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500
WAYLON DECOTEAU MD
Family Medicine
701 E ROSSER AVE
BISMARCK, ND 58501
Burleigh County (701) 751-9500

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 Jeffrey Nelson's NPI number?

The NPI number for Jeffrey Nelson is 1649433608. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Jeffrey Nelson located?

Jeffrey Nelson practices at 701 E Rosser Ave, Bismarck, ND 58501. The listed phone number is (701) 323-8922.

What is Jeffrey Nelson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Jeffrey Nelson enrolled in Medicare?

Yes. Jeffrey 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 Jeffrey Nelson accept?

Health plans from Blue Cross Blue Shield of North Dakota, BridgeSpan Health Company, Medica, Molina Healthcare and Regence BlueCross BlueShield of Utah and 3 other insurers list Jeffrey 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 Jeffrey Nelson affiliated with any hospitals?

According to CMS data, Jeffrey Nelson is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Sanford Medical Center Fargo, Sanford Medical Center Bismarck and Altru Hospital.

When was this NPI record last updated?

The NPPES record for Jeffrey Nelson was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.