GRAHAM CASEY NELSEN
NPI 1972033512
Obstetrics & Gynecology in Lynchburg, VA

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
84.93/100
CMS Quality Rating
114 NATIONWIDE DR, LYNCHBURG, VA 24502(434) 237-9233 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Graham Casey Nelsen NPPES

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

GRAHAM CASEY NELSEN (NPI 1972033512) is an individual obstetrics & gynecology provider in Lynchburg, Virginia, licensed in Virginia (0116030637) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Eastern Virginia Medical School (2017).

NPPES Registry Identity

NPI1972033512
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameGRAHAM CASEY NELSEN
Location Address114 NATIONWIDE DRLynchburg, VA 24502-4271
Mailing Address800 Oak StFarmville, VA 23901-1199 · (434) 392-8811
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1972033512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0116030637
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
114 NATIONWIDE DR, Lynchburg, VA 24502

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

Graham Casey Nelsen 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 ID6507136942
PECOS Enrollment IDI20210823000063
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

3

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

Obstetrics & Gynecology
114 NATIONWIDE DR
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • Medicare enrollment name: Womens Health Services Of Central Virginia Inc
  • 33 clinicians in this Medicare group
Urgent Care
125 NATIONWIDE DRIVE
Lynchburg, VA 24502
  • Reassigned Medicare billing, Virginia enrollment
  • 757 clinicians in this Medicare group
Internal Medicine
550 HOSPITAL DR
Warrenton, VA 20186
  • Reassigned Medicare billing, Virginia enrollment
  • 111 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24502 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

84.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.66
Improvement Activities40
Cost51.57

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.

Nurse Practitioner (Women's Health)
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Nurse Practitioner (Obstetrics & Gynecology)
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Obstetrics & Gynecology
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Nurse Practitioner (Family)
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Obstetrics & Gynecology (Obstetrics)
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Obstetrics & Gynecology
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Obstetrics & Gynecology (Gynecology)
114 NATIONWIDE DR
LYNCHBURG, VA 24502
Obstetrics & Gynecology
114 NATIONWIDE DR
LYNCHBURG, VA 24502

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 Graham Nelsen's NPI number?

The NPI number for Graham Nelsen is 1972033512. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Graham Nelsen located?

Graham Nelsen practices at 114 Nationwide Dr, Lynchburg, VA 24502. The listed phone number is (434) 237-9233.

What is Graham Nelsen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Graham Nelsen enrolled in Medicare?

Yes. Graham Nelsen 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 Graham Nelsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Graham Nelsen reassigns Medicare benefits to 3 organizations: Women's Health Services Of Central Virginia, Inc. (Lynchburg, VA), Centra Medical Group, LLC (Lynchburg, VA) and Fauquier Physician Practices LLC (Warrenton, VA). 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 Graham Nelsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Graham Nelsen affiliated with any hospitals?

According to CMS data, Graham Nelsen is affiliated with Centra Health - Lynchburg Gen Hospital.

When was this NPI record last updated?

The NPPES record for Graham Nelsen was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.