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BARRINGTON L NELSON M D
NPI 1669440566
Internal Medicine - Pulmonary Disease in Port St Lucie, FL

Active since March 08, 2006PECOS EnrolledAccepts Medicare Assignment
1801 SE HILLMOOR DR, STE C103, PORT ST LUCIE, FL 34952(772) 398-7110(772) 337-4465 Get Directions Write a Review

NPPES record last updated: June 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Barrington L Nelson M D NPPES

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

BARRINGTON L NELSON M D (NPI 1669440566) is an individual pulmonary disease provider in Port St Lucie, Florida, licensed in Florida (ME 70708) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Lucie Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1669440566
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameBARRINGTON L NELSON M D
Location Address1801 SE HILLMOOR DR, STE C103Port St Lucie, FL 34952-7553
Mailing Address1801 Se Hillmoor Dr, Ste C103Port St Lucie, FL 34952-7553 · (772) 398-7110 · Fax (772) 337-4465
Phone(772) 398-7110
Fax(772) 337-4465
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 8, 2006
Last NPPES UpdateJune 13, 2013
✔ NPI 1669440566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in FL · ME 70708
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1801 SE HILLMOOR DR, Port St Lucie, FL 34952
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Other Identifiers 3

Medicaid250403100FL
Medicare ID-Type Unspecified31908AFL
Medicare UPING34837

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Barrington L Nelson M D 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 ID5698876753
PECOS Enrollment IDI20070719000729
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.

Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
834 services231 patients
Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
506 services130 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
315 services134 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
234 services199 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
117 services108 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
49 services48 patients

Hospital Affiliations CMS Care Compare

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

St Lucie Medical Center

Acute Care Hospitals · Port Saint Lucie, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100260
Location1800 SE Tiffany AvePort Saint Lucie, FL 34952 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34952 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,279 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%938 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%289 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%476 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
100%316 patients5/55-star benchmark: 90%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 57% · 312 patients
66%312 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
48%476 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 316 patients
1%316 patients4/55-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 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers15 claims15 services$37.76 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
3 suppliers14 claims28 services$1.49 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers17 claims17 services$88.81 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers15 claims38 services$33.50 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers15 claims15 services$54.31 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers24 claims24 services$17.66 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 20

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

DR. PRITHVI RAJ SAWH M.D.
Pediatrics
1801 SE HILLMOOR DR, SUITE A105
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-9949
TANUJA TIRUNAGARI VEDERE M.D
Allergy & Immunology
1801 SE HILLMOOR DR, C107
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-7888
CARDIOPULMONARY ASSOCIATES OF THE TREASURE COAST PA
Specialist
1801 SE HILLMOOR DR, A110
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-3500
DR. LESLIE ROBERT BERGHASH MD
Otolaryngology (Facial Plastic Surgery)
1801 SE HILLMOOR DR, SUITE B105
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-9911
DR. JOHN T LANZA MD
Otolaryngology
1801 SE HILLMOOR DR, SUITE B105
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-9911
DR. SUSAN SAWCHUK GOEBEL D.M.D.
Dentist (General Practice)
1801 SE HILLMOOR DR, STE. C-210
PORT ST LUCIE, FL 34952
St. Lucie County (772) 337-2338
TREASURE COAST DIAGNOSTICS LLC
Specialist
1801 SE HILLMOOR DR, C209
PORT ST LUCIE, FL 34952
St. Lucie County (772) 335-1122
STUART S SHIPE R.PH., D.O.M.
Acupuncturist
1801 SE HILLMOOR DR, SUITE A104
PORT ST LUCIE, FL 34952
St. Lucie County (772) 398-4550

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 Barrington Nelson M D's NPI number?

The NPI number for Barrington Nelson M D is 1669440566. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Barrington Nelson M D located?

Barrington Nelson M D practices at 1801 SE Hillmoor Dr Ste C103, Port St Lucie, FL 34952. The listed phone number is (772) 398-7110.

What is Barrington Nelson M D's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Barrington Nelson M D enrolled in Medicare?

Yes. Barrington Nelson M D 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 Barrington Nelson M D accept?

Health plans from AvMed list Barrington Nelson M D 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 Barrington Nelson M D affiliated with any hospitals?

According to CMS data, Barrington Nelson M D is affiliated with St Lucie Medical Center.

When was this NPI record last updated?

The NPPES record for Barrington Nelson M D was last updated on June 13, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.