DR. JOHN WILLIAM NELSON MD
NPI 1891964615
Radiology - Radiation Oncology in Raleigh, NC

Q: What is John Nelson's NPI number?

The NPI number for John Nelson is 1891964615. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Q: What is John Nelson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Q: When was this NPI record last updated?

The NPPES record for John Nelson was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 26, 2008PECOS EnrolledAccepts Medicare Assignment

5524 HAWTHORNE PARK, RALEIGH, NC 27613(919) 870-0057 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. John William Nelson Md NPPES

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

DR. JOHN WILLIAM NELSON MD (NPI 1891964615) is an individual radiation oncology provider in Raleigh, North Carolina, licensed in North Carolina (200400068) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1999).

NPPES Registry Identity

NPI1891964615

Entity TypeIndividualMale

Primary Taxonomy2085R0001X

Provider Legal NameDR. JOHN WILLIAM NELSONCredential: MD

Location Address5524 HAWTHORNE PARKRaleigh, NC 27613-6006

Mailing Address5524 Hawthorne ParkRaleigh, NC 27613-6006 · (919) 621-3645

Phone(919) 870-0057

Sole ProprietorYes

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1999

Enumeration DateFebruary 26, 2008

Last NPPES UpdateApril 26, 2011

✔ NPI 1891964615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0001X

License✔ Licensed in NC · 200400068

Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

5524 HAWTHORNE PARK, Raleigh, NC 27613

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John William Nelson Md 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 ID8729159140

PECOS Enrollment IDI20080612000389

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.

Medicare Billing Reassignments

Medicare enrollment records show John Nelson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Duke Health Integrated Practice, Inc

9.3 mi

Gastroenterology

3480 WAKE FOREST RD STE 500
Raleigh, NC 27609

Reassigned Medicare billing, North Carolina enrollment
3,671 clinicians in this Medicare group

NPI 1780374884 (919) 862-5075

Danville Physician Practices LLC

56 mi

Rural Health

404 AIRPORT DR STE A
Danville, VA 24540

Reassigned Medicare billing, Virginia enrollment
204 clinicians in this Medicare group

NPI 1770260499 (434) 799-3802

Scotland Memorial Hospital, Inc

81 mi

Rural Health

24420 MARLBORO ST
Wagram, NC 28396

Reassigned Medicare billing, North Carolina enrollment
476 clinicians in this Medicare group

NPI 1891789970 (910) 369-3136

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 23

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.

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

Stereoscopic x-ray guidance is a technique used in radiation therapy. It involves taking multiple X-ray images from different angles to create a 3D picture of the area to be treated. This helps accurately pinpoint the exact location for radiation delivery, ensuring the therapy is as effective as possible.

1,368 services69 patients

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy G6002

641 services34 patients

Calculation of radiation therapy dose 77300

Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.

423 services95 patients

Radiation treatment management, 5 treatment sessions 77427

Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.

279 services70 patients

Radiation treatment management, 5 treatment sessions 77427

136 services29 patients

Complex radiation therapy planning 77263

Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.

105 services104 patients

Calculation of radiation therapy dose 77300

98 services31 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

96 services96 patients

Design and construction of complex radiation treatment device 77334

The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.

88 services53 patients

High precision radiation therapy planning 77301

High precision radiation therapy planning involves detailed mapping of your body to target cancer cells accurately. Advanced imaging techniques help identify the exact location of the tumor, minimizing harm to healthy tissues. This personalized approach enhances effectiveness and reduces side effects.

87 services86 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

A radiation treatment device is custom-made for each patient to target cancer cells with high precision. It's designed to focus radiation on the tumor, sparing healthy tissue. This process ensures effective therapy while minimizing side effects.

87 services86 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.

72 services57 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

48 services34 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

38 services38 patients

Telephone medical discussion with physician, 11-20 minutes 99442

38 services31 patients

Management of cranial lesion surgery using radiation over multiple sessions 77435

This procedure involves using targeted radiation to treat a lesion in the brain over several sessions. The radiation destroys the abnormal cells, helping to control or eliminate the lesion. It's a non-invasive treatment, meaning no surgical cuts are made.

31 services31 patients

High precision radiation therapy planning 77301

30 services30 patients

Design and construction of radiation treatment device for high precision radiation therapy 77338

30 services30 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

24 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services17 patients

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280

This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.

17 services11 patients

Complex radiation therapy planning 77263

13 services13 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27613 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

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

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.

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 John Nelson's NPI number?

The NPI number for John Nelson is 1891964615. It was assigned to this individual provider in the NPPES registry on February 26, 2008.

Where is John Nelson located?

John Nelson practices at 5524 Hawthorne Park, Raleigh, NC 27613. The listed phone number is (919) 870-0057.

What is John Nelson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is John Nelson enrolled in Medicare?

Yes. John 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.

Which organizations bill Medicare for John Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Nelson reassigns Medicare benefits to 3 organizations: Duke Health Integrated Practice, Inc (Raleigh, NC), Danville Physician Practices LLC (Danville, VA) and Scotland Memorial Hospital, Inc (Wagram, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Nelson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list John 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 John Nelson affiliated with any hospitals?

According to CMS data, John Nelson is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for John Nelson was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.