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KELLY RAPHAEL NELSON MD
NPI 1760435838
Family Medicine in Bridgeport, WV

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
120 MEDICAL PARK DR, SUITE 300, BRIDGEPORT, WV 26330(304) 624-7200 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Raphael Nelson Md NPPES

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

KELLY RAPHAEL NELSON MD (NPI 1760435838) is an individual family medicine provider in Bridgeport, West Virginia, licensed in West Virginia (15120) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of University Of Alabama School Of Medicine (1986).

NPPES Registry Identity

NPI1760435838
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKELLY RAPHAEL NELSONCredential: MD
Location Address120 MEDICAL PARK DR, SUITE 300Bridgeport, WV 26330-9012
Mailing Address120 Medical Park Dr, Ste 300Bridgeport, WV 26330-9012 · (304) 624-7200
Phone(304) 624-7200
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1986
Enumeration DateMay 18, 2006
Last NPPES UpdateJanuary 13, 2021
NPPES CertifiedJanuary 13, 2021
✔ NPI 1760435838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 15120
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.
120 MEDICAL PARK DR, Bridgeport, WV 26330
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Other Identifiers 1

Medicaid0041162000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Kelly Raphael 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 ID6305870791
PECOS Enrollment IDI20091029000269
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 11

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 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.
735 services350 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
517 services316 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
194 services194 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
144 services37 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
100 services20 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.
95 services78 patients

Hospital Affiliations CMS Care Compare 3

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510006
Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County
Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV
OwnershipVoluntary non-profit - Private
CMS Certification Number511321
Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26330 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers41 claims80 services$5.69 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims18 services$1.16 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$4.15 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims8,402 services$0.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$34.72 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers30 claims44 services$7.92 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 17

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

FRANCES BLAKE MURRAY MD
Family Medicine
120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330
Harrison County (304) 624-7200
SHARIFEH FARASAT MD
Dermatology
120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330
Harrison County (304) 624-7200
ERIN COLLEEN HAWKINS FNP-BC
Nurse Practitioner (Family)
120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330
Harrison County (304) 624-7200
DR. FRANK THOMAS ANGOTTI III M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
120 MEDICAL PARK DR, UNITED SUMMIT CENTER - FRANK ANGOTTI MD
BRIDGEPORT, WV 26330
Harrison County (304) 848-2000
JAMES E MALONE D.O.
Family Medicine
120 MEDICAL PARK DR, SUITE 300
BRIDGEPORT, WV 26330
Harrison County (304) 624-7200
MELISSA MINIGH
Pharmacist
120 MEDICAL PARK DR, SUITE 102
BRIDGEPORT, WV 26330
Harrison County (304) 423-5200
DR. CHARLES BRADLEY FRANZ M.D.
Dermatology
120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330
Harrison County (304) 624-7200
MS. KRISTIN B SMUCKER P.A.
Physician Assistant
120 MEDICAL PARK DR, SUITE 200
BRIDGEPORT, WV 26330
Harrison County (304) 624-7200

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 Kelly Nelson's NPI number?

The NPI number for Kelly Nelson is 1760435838. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Kelly Nelson located?

Kelly Nelson practices at 120 Medical Park Dr Suite 300, Bridgeport, WV 26330. The listed phone number is (304) 624-7200.

What is Kelly Nelson's specialty?

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

Is Kelly Nelson enrolled in Medicare?

Yes. Kelly 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 Kelly Nelson accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Kelly 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 Kelly Nelson affiliated with any hospitals?

According to CMS data, Kelly Nelson is affiliated with West Virginia University Hospitals, Inc, United Hospital Center, Inc and St Joseph's Hospital Of Buckhannon, Inc.

When was this NPI record last updated?

The NPPES record for Kelly Nelson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.