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BENJAMIN DAVID NELSON MD
NPI 1750465985
Family Medicine - Sports Medicine in Duluth, MN

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
400 EAST 3RD STREET, DULUTH, MN 55805(218) 786-3520 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin David Nelson Md NPPES

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

BENJAMIN DAVID NELSON MD (NPI 1750465985) is an individual sports medicine provider in Duluth, Minnesota, licensed in Minnesota (47738) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of University Of Minnesota Medical School (2004).

NPPES Registry Identity

NPI1750465985
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameBENJAMIN DAVID NELSONCredential: MD
Location Address400 EAST 3RD STREETDuluth, MN 55805
Mailing Address400 East 3rd StreetDuluth, MN 55805 · (218) 786-3520
Phone(218) 786-3520
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2004
Enumeration DateOctober 24, 2006
Last NPPES UpdateMay 9, 2011
✔ NPI 1750465985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in MN · 47738
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
400 EAST 3RD STREET, Duluth, MN 55805
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Other Identifiers 5

OtherHP54875MN · Healthpartners
Medicaid290422500MN
Medicare PIN080014335MN
Medicaid34680600WI
Other634T3NEMN · Bcbs

Accepted Insurance

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

Benjamin David 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 ID8022049857
PECOS Enrollment IDI20050822001066, I20130205000288
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.

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.
82 services69 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.
57 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services40 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.
39 services30 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
28 services27 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 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

Essentia Health Moose Lake

Critical Access Hospitals · Moose Lake, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241350
Location4572 County Road 61Moose Lake, MN 55767 · Carlton County
Emergency services Birthing friendly

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521329
Location3500 Tower AveSuperior, WI 54880 · Douglas County
Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

SAMUEL C. HOXIE MD
Orthopaedic Surgery
400 EAST 3RD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-3520
DR. OBIOMA J. IGBOKO MBBS
Physical Medicine & Rehabilitation (Pain Medicine)
400 EAST 3RD STREET, ESSENTIA HEALTH DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8364
NATHAN E. HOFFMANN MD
Urology
400 EAST 3RD STREET, SMDC MEDICAL CENTER-DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-3234
KENNETH DORNFELD MD
Radiology (Radiation Oncology)
400 EAST 3RD STREET
DULUTH, MN 55805
St. Louis County (218) 786-8364
JILL RP HOLSINGER MD
Radiology (Diagnostic Radiology)
400 EAST 3RD STREET, SMDC MEDICAL CENTER-DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-8160
DR. JUSTIN DAVID HILL MD
Radiology (Diagnostic Radiology)
400 EAST 3RD STREET, DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-4450
MAREN KAY SHARLAND PA-C
Physician Assistant (Medical)
400 EAST 3RD STREET, SMDC MEDICAL CENTER-DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-3925
CHRISTINA LEE HARVEY FALGIER MD
Pediatrics (Neonatal-Perinatal Medicine)
400 EAST 3RD STREET, DULUTH CLINIC
DULUTH, MN 55805
St. Louis County (218) 786-4601

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 Benjamin Nelson's NPI number?

The NPI number for Benjamin Nelson is 1750465985. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Benjamin Nelson located?

Benjamin Nelson practices at 400 East 3rd Street, Duluth, MN 55805. The listed phone number is (218) 786-3520.

What is Benjamin Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Benjamin Nelson enrolled in Medicare?

Yes. Benjamin 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 Benjamin Nelson accept?

Health plans from HealthPartners, Medica, Sanford Health Plan and Security Health Plan list Benjamin 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 Benjamin Nelson affiliated with any hospitals?

According to CMS data, Benjamin Nelson is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Moose Lake, St Marys Hospital Superior and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Benjamin Nelson was last updated on May 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.