DR. MATTHEW NELSON DO
NPI 1740669514
Family Medicine in Ganado, AZ

Active since May 26, 2015PECOS EnrolledAccepts Medicare Assignment
US 191 & AZ 264, GANADO, AZ 86505(928) 755-4632(928) 755-4831 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 28, 2025, Sep 2, 2024, Jun 7, 2022 and 1 more (4 updates tracked since 2017).

About Dr. Matthew Nelson Do NPPES

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

DR. MATTHEW NELSON DO (NPI 1740669514) is an individual family medicine provider in Ganado, Arizona, licensed in Arizona (008047) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1740669514
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATTHEW NELSONCredential: DO
Location AddressUS 191 & AZ 264Ganado, AZ 86505
Mailing AddressPo Box 1625Page, AZ 86040-1625 · (928) 645-9675
Fax(928) 755-4831
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMay 26, 2015
Last NPPES UpdateMay 28, 20254 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1740669514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 008047✔ Licensed in CO · DR0057309✔ Licensed in UT · 12227416-1204
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
US 191 & AZ 264, Ganado, AZ 86505

Secondary Practice Locations 4

Location 14610 S Ulster St Ste 150Denver, CO 80237-4326 · Phone (888) 803-3370
Location 29700 N 91st St Ste A115Scottsdale, AZ 85258-5036 · Phone (888) 803-3370
Location 3467 Vista AvePage, AZ 86040-1478 · Phone (928) 645-8123
Location 4350 E 400 S # 220Salt Lake City, UT 84111-2993 · Phone (888) 803-3370

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew Nelson Do 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 ID7012216401
PECOS Enrollment IDI20221116000937
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 Reassignments

5

Medicare enrollment records show Matthew Nelson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural
ARIZONA HIGHWAY 191
Ganado, AZ 86505
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
Family Medicine
10 MILES NE OF SR264 MP362, ROCKY RIDGE SCHOOL STREET
Kykotsmovi, AZ 86039
  • Reassigned Medicare billing, Texas enrollment
  • 540 clinicians in this Medicare group
Multi-Specialty
601 N NAVAJO
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Banner Hospital Based Physicians Arizona LLC
  • 1,081 clinicians in this Medicare group
Critical Access
501 N NAVAJO DR
Page, AZ 86040
  • Reassigned Medicare billing, Arizona enrollment
  • 48 clinicians in this Medicare group
Critical Access
7000 UULA STREET
Barrow, AK 99723
  • Reassigned Medicare billing, Alaska enrollment
  • 118 clinicians in this Medicare group

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 86505 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Other Providers at the Same Location NPPES 10

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

Surgery
US 191 & AZ 264
GANADO, AZ 86505
Pediatrics
US 191 & AZ 264
GANADO, AZ 86505
Internal Medicine
US 191 & AZ 264
GANADO, AZ 86505
Counselor
US 191 & AZ 264, SALSBURY HALL SAGE MEMORIAL HOSPITAL CAMPUS
GANADO, AZ 86505
Nurse Practitioner (Family)
US 191 & AZ 264
GANADO, AZ 86505
Clinic/Center (Critical Access Hospital)
US 191 & AZ 264
GANADO, AZ 86505
Nurse Practitioner (Family)
US 191 & AZ 264
GANADO, AZ 86505
Clinic/Center (Rural Health)
US 191 & AZ 264
GANADO, AZ 86505

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 Matthew Nelson's NPI number?

The NPI number for Matthew Nelson is 1740669514. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Matthew Nelson located?

Matthew Nelson practices at Us 191 & Az 264, Ganado, AZ 86505. The listed phone number is (928) 755-4632.

What is Matthew Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Matthew Nelson enrolled in Medicare?

Yes. Matthew 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.

Which organizations bill Medicare for Matthew Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Nelson reassigns Medicare benefits to 5 organizations: Navajo Health Foundation-Sage Memorial Hospital, Inc. (Ganado, AZ), Tuba City Regional Health Care Corporation (Kykotsmovi, AZ), Banner Physician Specialists Arizona LLC (Page, AZ), Page Hospital (Page, AZ) and Arctic Slope Native Association Ltd (Barrow, AK). Each 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 Matthew Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Nelson accept?

Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Matthew 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.

When was this NPI record last updated?

The NPPES record for Matthew Nelson was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.