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DR. LARRY M NELSON DPM
NPI 1831167279
Podiatrist in Hawthorne, NJ

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
344 LAFAYETTE AVE, HAWTHORNE, NJ 07506(973) 238-0660(973) 238-1003 Get Directions Write a Review

NPPES record last updated: February 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry M Nelson Dpm NPPES

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

DR. LARRY M NELSON DPM (NPI 1831167279) is an individual podiatrist in Hawthorne, New Jersey, licensed in New Jersey (MD002180) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of California School Of Podiatric Medicine (1991).

NPPES Registry Identity

NPI1831167279
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. LARRY M NELSONCredential: DPM
Location Address344 LAFAYETTE AVEHawthorne, NJ 07506-2506
Mailing Address344 Lafayette AveHawthorne, NJ 07506-2506 · (973) 238-0660 · Fax (973) 238-1003
Phone(973) 238-0660
Fax(973) 238-1003
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 1991
Enumeration DateMarch 10, 2006
Last NPPES UpdateFebruary 1, 2010
✔ NPI 1831167279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in NJ · MD002180
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
344 LAFAYETTE AVE, Hawthorne, NJ 07506
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Other Identifiers 5

OtherP3602754NJ · Oxford
OtherPA000000100NJ · Americhoice
Medicaid5423902NJ
Medicare UPINU40504
Medicare ID-Type UnspecifiedNE734371NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 and accepts Medicare assignment

Dr. Larry M Nelson Dpm 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 ID2163551458
PECOS Enrollment IDI20100525000634
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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
1,880 services571 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
838 services280 patients
Removal of noncancer thickened skin growth, more than 4 growths 11057
This procedure involves the removal of more than four noncancerous, thickened skin growths. It's a simple process where a healthcare professional uses a specialized tool to carefully remove these growths, promoting healthier skin.
654 services185 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.
127 services74 patients
Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342
A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.
110 services110 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
57 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07506 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Larry Nelson's NPI number?

The NPI number for Larry Nelson is 1831167279. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Larry Nelson located?

Larry Nelson practices at 344 Lafayette Ave, Hawthorne, NJ 07506. The listed phone number is (973) 238-0660.

What is Larry Nelson's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Larry Nelson enrolled in Medicare?

Yes. Larry 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 Larry Nelson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Larry 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 Larry Nelson was last updated on February 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.