DR. MATTHEW JOHN NELSEN MD
NPI 1699727958
Orthopaedic Surgery in Fargo, ND

Q: What is Matthew Nelsen's NPI number?

The NPI number for Matthew Nelsen is 1699727958. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Q: What is Matthew Nelsen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Nelsen was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 May 16, 2006PECOS EnrolledAccepts Medicare Assignment

74.19/100

CMS Quality Rating

1720 UNIVERSITY DR S, FARGO, ND 58103(701) 237-9712(701) 237-0922 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Matthew John Nelsen Md NPPES

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

DR. MATTHEW JOHN NELSEN MD (NPI 1699727958) is an individual orthopaedic surgery provider in Fargo, North Dakota, licensed in Minnesota (46060) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Perham Health, and is a graduate of University Of North Dakota School Of Medicine (1997).

NPPES Registry Identity

NPI1699727958

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MATTHEW JOHN NELSENCredential: MD

Location Address1720 UNIVERSITY DR SFargo, ND 58103-4940

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 237-9712

Fax(701) 237-0922

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 1997

Enumeration DateMay 16, 2006

Last NPPES UpdateMay 13, 2022

NPPES CertifiedMay 13, 2022

✔ NPI 1699727958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

Licenses✔ Licensed in MN · 46060✔ Licensed in AZ · 30252✔ Licensed in ND · 9363

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 9363 (ND), 46060 (MN), 30252 (AZ)

1720 UNIVERSITY DR S, Fargo, ND 58103

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Other Identifiers 1

Medicaid12329ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan 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. Matthew John Nelsen 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 ID648175471

PECOS Enrollment IDI20031204000400, I20050329000603

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 19

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 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.

238 services170 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

129 services98 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

107 services70 patients

Complete ultrasound scan of joint 76881

A complete ultrasound scan of a joint is a non-invasive procedure using sound waves to create images of your joint. It helps identify problems like inflammation, injury, or disease. It's painless, safe, and doesn't involve radiation.

81 services73 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.

71 services69 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

57 services53 patients

Aspiration and/or injection of fluid from large joint 20610

55 services41 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

41 services40 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

35 services34 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

28 services28 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

24 services24 patients

Limited ultrasound scan of joint or other extremity structure except blood vessels 76882

A limited ultrasound scan of a joint or other extremity structure lacking blood vessels is a non-invasive procedure that uses sound waves to create images of the inside of your body. This helps in diagnosing and monitoring conditions related to your joints or other similar structures.

19 services16 patients

Removal of knee cartilage using an endoscope 29881

This procedure, known as arthroscopic knee surgery, involves using a small camera (endoscope) to view the inside of your knee. Small instruments are used to remove damaged cartilage. This can help alleviate pain and improve knee function.

18 services18 patients

Shaving of part of shoulder bone and repair of ligament using an endoscope 29826

This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.

15 services14 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

14 services13 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

13 services13 patients

Removal of fluid-filled sac (bursa) or calcium deposit of pelvis 27062

This procedure involves the removal of a fluid-filled sac (bursa) or calcium deposit in the pelvis area. It's done to alleviate discomfort and improve mobility. The surgeon makes a small incision, extracts the bursa or deposit, and then closes the incision.

12 services11 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.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Perham Health

Critical Access Hospitals · Perham, MN

OwnershipGovernment - Hospital District or Authority

CMS Certification Number241373

Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County

Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

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.

74.19/100

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

Scored as part of a group practice

Quality

87.45

Promoting Interoperability

Improvement Activities

Cost

27.37

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

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.

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier11 claims11 services$66.52 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.

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