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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MICHAEL NELSON MD
NPI 1780661645
Emergency Medicine in Abington, PA

Active since December 30, 2005PECOS Enrolled
85.98/100
CMS Quality Rating
1200 OLD YOLK ROAD, ABINGTON, PA 19001(215) 481-4355(215) 481-4629 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Nelson Md NPPES

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

MICHAEL NELSON MD (NPI 1780661645) is an individual emergency medicine provider in Abington, Pennsylvania, licensed in Pennsylvania (MD426385) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780661645
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL NELSONCredential: MD
Location Address1200 OLD YOLK ROADAbington, PA 19001
Mailing AddressPo Box 3012Wilmington, DE 19804 · (800) 456-4629 · Fax (302) 224-2848
Phone(215) 481-4355
Fax(215) 481-4629
Sole ProprietorNo
Enumeration DateDecember 30, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1780661645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD426385
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1200 OLD YOLK ROAD, Abington, PA 19001
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Other Identifiers 1

Medicaid1013867890001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Nelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
402 services395 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician only 93042
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. 1 to 3 leads or sensors are placed on your body to capture this data. A physician then reviews the results to evaluate your heart's health.
314 services313 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
207 services204 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services56 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.15
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KENDEL G KIDWELL MD
Emergency Medicine
1200 OLD YOLK ROAD
ABINGTON, PA 19001
Montgomery County (215) 481-4355
ANDREW G BALL MD
Emergency Medicine
1200 OLD YOLK ROAD
ABINGTON, PA 19001
Montgomery County (215) 481-4355
RYAN A SUPPLEE PAC
Emergency Medicine
1200 OLD YOLK ROAD
ABINGTON, PA 19001
Montgomery County (215) 481-4355

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 Michael Nelson's NPI number?

The NPI number for Michael Nelson is 1780661645. It was assigned to this individual provider in the NPPES registry on December 30, 2005.

Where is Michael Nelson located?

Michael Nelson practices at 1200 Old Yolk Road, Abington, PA 19001. The listed phone number is (215) 481-4355.

What is Michael Nelson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Nelson enrolled in Medicare?

Yes. Michael Nelson is registered in the Medicare PECOS enrollment system.

What insurance does Michael Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael 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 Michael Nelson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.