1. Home
  2. Directory
  3. Maryland
  4. Hagerstown
  5. Dentist
  6. NPI Profile

DR. HOWARD L NELSON DDS
NPI 1811067952
Dentist - Oral and Maxillofacial Surgery in Hagerstown, MD

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
1144 OPAL COURT, HAGERSTOWN, MD 21740(301) 733-2500(301) 733-9600 Get Directions Write a Review

NPPES record last updated: November 2, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Howard L Nelson Dds NPPES

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

DR. HOWARD L NELSON DDS (NPI 1811067952) is an individual oral and maxillofacial surgery provider in Hagerstown, Maryland, licensed in Maryland (12507) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Howard University College Of Medicine (1995).

NPPES Registry Identity

NPI1811067952
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. HOWARD L NELSONCredential: DDS
Location Address1144 OPAL COURTHagerstown, MD 21740
Mailing Address1007 Sushruta DriveMartinsburg, WV 25401 · (304) 263-0991 · Fax (304) 274-9546
Phone(301) 733-2500
Fax(301) 733-9600
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1995
Enumeration DateNovember 8, 2006
Last NPPES UpdateNovember 2, 2012
✔ NPI 1811067952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MD · 12507✔ Licensed in WV · 3550✔ Licensed in DC · DEN5975✔ Licensed in PA · DS035393
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1144 OPAL COURT, Hagerstown, MD 21740
Open in Google Maps ↗

Other Identifiers 4

Medicaid4002163000WV
Medicare UPINU91607
Medicare ID-Type UnspecifiedNE4092911
OtherDF52MD · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama 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

Dr. Howard L Nelson Dds 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 ID9234032145
PECOS Enrollment IDI20040129000021, I20120907000590
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 3

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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
133 services133 patients
Biopsy of mouth 40808
A biopsy of the mouth is a procedure where a small sample of tissue is taken from your mouth. This is done to examine the tissue under a microscope and check for any abnormal cells or diseases. The procedure is usually quick and may involve local anesthesia for comfort.
17 services15 patients
Biopsy of front 2/3 of tongue 41100
A biopsy of the front 2/3 of the tongue is a procedure where a small piece of tissue is removed from the front part of your tongue. This is done to examine it under a microscope and check for any abnormal cells or conditions. It's a common, safe procedure.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21740 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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

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

DR. JON ALAN PIKE DDS
Dentist (Oral and Maxillofacial Surgery)
1144 OPAL COURT
HAGERSTOWN, MD 21740
Washington County (301) 733-2500

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 Howard Nelson's NPI number?

The NPI number for Howard Nelson is 1811067952. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Howard Nelson located?

Howard Nelson practices at 1144 Opal Court, Hagerstown, MD 21740. The listed phone number is (301) 733-2500.

What is Howard Nelson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Howard Nelson enrolled in Medicare?

Yes. Howard 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 Howard Nelson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Howard 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 Howard Nelson was last updated on November 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.