DR. MATTHEW JAMES NELSON M.D.
NPI 1760724132
Internal Medicine - Gastroenterology in Grand Rapids, MI
About Dr. Matthew James Nelson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MATTHEW JAMES NELSON M.D. (NPI 1760724132) is an individual gastroenterology provider in Grand Rapids, Michigan, licensed in Michigan (4301117478) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Wayne State University School Of Medicine (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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 James 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.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Corewell Health Zeeland Hospital
Acute Care Hospitals · Zeeland, MISpectrum Health United Hospital
Acute Care Hospitals · Greenville, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MICorewell Health Pennock Hospital
Critical Access Hospitals · Hastings, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
GRAND RAPIDS, MI 49546
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 1760724132. It was assigned to this individual provider in the NPPES registry on March 22, 2013.
Where is Matthew Nelson located?
Matthew Nelson practices at 4100 Lake Dr SE Ste 205, Grand Rapids, MI 49546. The listed phone number is (616) 267-7414.
What is Matthew Nelson's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
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.
What insurance does Matthew Nelson accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers 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.
Is Matthew Nelson affiliated with any hospitals?
According to CMS data, Matthew Nelson is affiliated with Corewell Health Zeeland Hospital, Spectrum Health United Hospital, Spectrum Health and Corewell Health Pennock Hospital.
When was this NPI record last updated?
The NPPES record for Matthew Nelson was last updated on February 24, 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.
