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DR. NATHANIEL JONATHAN NELMS M.D.
NPI 1881743664
Orthopaedic Surgery in South Burlington, VT

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
192 TILLEY DR, SOUTH BURLINGTON, VT 05403(802) 847-0000 Get Directions Write a Review

NPPES record last updated: May 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nathaniel Jonathan Nelms M.d. NPPES

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

DR. NATHANIEL JONATHAN NELMS M.D. (NPI 1881743664) is an individual orthopaedic surgery provider in South Burlington, Vermont, licensed in Vermont (EF4323200BF) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2006).

NPPES Registry Identity

NPI1881743664
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NATHANIEL JONATHAN NELMSCredential: M.D.
Location Address192 TILLEY DRSouth Burlington, VT 05403-4440
Mailing Address192 Tilley DrSouth Burlington, VT 05403-4440 · (802) 847-0000
Phone(802) 847-0000
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2006
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMay 28, 2015
✔ NPI 1881743664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in VT · EF4323200BF✔ Licensed in MN · 105636✔ Licensed in MN · 54532
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
192 TILLEY DR, South Burlington, VT 05403
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Other Identifiers 2

OtherP00992477MN · Railroad Medicare
Medicare PIN200003143MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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. Nathaniel Jonathan Nelms 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.

PECOS PAC ID4688845043
PECOS Enrollment IDI20120810000222
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 7

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 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.
347 services284 patients
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.
102 services101 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
74 services57 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
61 services61 patients
Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T
This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.
58 services56 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
57 services55 patients

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470024
Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County
Emergency services Birthing friendly

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05403 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
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 20

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

MS. BRENDA CURRIER HILFRANK PT
Physical Therapist (Hand)
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-7910
MR. ANTONIO LORA III MS,ATC, PES
Specialist/Technologist (Athletic Trainer)
192 TILLEY DR, MAIL STOP 4380 C1
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-7001
MR. GRIGORIOS DELAPORTAS P.A.
Physician Assistant
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-7063
MR. ROBERT E HEMOND PA-C
Physician Assistant (Surgical)
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-9005
JENNIFER MAY ELSINGER OTR/L, CHT
Occupational Therapist (Hand)
192 TILLEY DR, ORTHOPEDIC SPECIALTY CENTER
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-7910
DAVID LISLE M.D.
Family Medicine (Sports Medicine)
192 TILLEY DR, ORTHOPAEDIC SPECIALTY CENTER
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-2663
LUCIA G RYAN P.T.
Physical Therapist
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-7910
DR. ADAM MATTHEW KATCHKY MD
Orthopaedic Surgery
192 TILLEY DR
SOUTH BURLINGTON, VT 05403
Chittenden County (802) 847-0000

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 Nathaniel Nelms's NPI number?

The NPI number for Nathaniel Nelms is 1881743664. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Nathaniel Nelms located?

Nathaniel Nelms practices at 192 Tilley Dr, South Burlington, VT 05403. The listed phone number is (802) 847-0000.

What is Nathaniel Nelms's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nathaniel Nelms enrolled in Medicare?

Yes. Nathaniel Nelms 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 Nathaniel Nelms accept?

Health plans from Anthem Blue Cross and Blue Shield list Nathaniel Nelms 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 Nathaniel Nelms affiliated with any hospitals?

According to CMS data, Nathaniel Nelms is affiliated with Champlain Valley Physicians Hospital Medical Ctr, Univ. Of Vermont - Fletcher Allen Health Care, Northwestern Medical Center Inc, Copley Hospital and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Nathaniel Nelms was last updated on May 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.