PHILIP T NELSEN MD
NPI 1982606109
Ophthalmology - Retina Specialist in Toledo, OH

Q: What is Philip Nelsen's NPI number?

The NPI number for Philip Nelsen is 1982606109. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Q: What is Philip Nelsen's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Philip Nelsen was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 June 01, 2005PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

2865 N REYNOLDS RD, SUITE 230, TOLEDO, OH 43615(419) 578-4367(419) 537-5639 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Philip T Nelsen Md NPPES

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

PHILIP T NELSEN MD (NPI 1982606109) is an individual retina specialist in Toledo, Ohio, licensed in Ohio (35049048) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1973).

NPPES Registry Identity

NPI1982606109

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NamePHILIP T NELSENCredential: MD

Location Address2865 N REYNOLDS RD, SUITE 230Toledo, OH 43615-2068

Mailing Address6591 W Central Ave, Suite 202Toledo, OH 43617-1087 · (419) 517-6599 · Fax (419) 517-0503

Phone(419) 578-4367

Fax(419) 537-5639

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1973

Enumeration DateJune 1, 2005

Last NPPES UpdateApril 5, 2017

✔ NPI 1982606109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in OH · 35049048

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 35049048 (OH)

2865 N REYNOLDS RD, Toledo, OH 43615

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Other Identifiers 6

Medicare PINE06373002MI

OtherNE0531841OH · Medicare Ptan

Other1804611061MI · Bcbs Of Michigan

Medicaid0517668OH

Medicare PIN0531841OH

Medicare UPINC49813OH

Accepted Insurance

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

Philip T Nelsen 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 ID7214018464

PECOS Enrollment IDI20080115000011

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 16

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,978 services1,123 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,995 services519 patients

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

1,980 services17 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,788 services312 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

669 services561 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.

635 services455 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

406 services180 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.

269 services225 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

72 services72 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

63 services63 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

41 services41 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

35 services35 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

19 services18 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

17 services17 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.76

Promoting Interoperability

100

Improvement Activities

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.

DR. JOHN VERNON HOUGHTALING MD

Orthopaedic Surgery (Hand Surgery)

2865 N REYNOLDS RD, BUILDING A
TOLEDO, OH 43615

Lucas County (419) 578-7200

PROMEDICA CENTRAL PHYSICIANS, LLC

Orthopaedic Surgery

2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615

Lucas County (419) 578-4260

ANTHONY FROGAMENI III M.D.

Orthopaedic Surgery (Sports Medicine)

2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615

Lucas County (419) 578-7200

CHARLES KING DABBS MD

Ophthalmology (Retina Specialist)

2865 N REYNOLDS RD, SUITE 230
TOLEDO, OH 43615

Lucas County (419) 578-4367

RECONSTRUCTIVE AND AESTHETIC SURGERY CENTER LTD

Clinic/Center (Ambulatory Surgical)

2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615

Lucas County (419) 534-6551

MRS. NICOLE MARIE TOMLINSON ATC

Specialist/Technologist (Athletic Trainer)

2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615

Lucas County (419) 578-7530

JOHN R SCHUNEMAN M.A.,CCC-A

Audiologist

2865 N REYNOLDS RD, 120
TOLEDO, OH 43615

Lucas County (419) 578-7557

MARY E DERCK ATC

Specialist/Technologist (Athletic Trainer)

2865 N REYNOLDS RD, STE. 110
TOLEDO, OH 43615

Lucas County (419) 578-7530

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 Philip Nelsen's NPI number?

The NPI number for Philip Nelsen is 1982606109. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Philip Nelsen located?

Philip Nelsen practices at 2865 N Reynolds Rd Suite 230, Toledo, OH 43615. The listed phone number is (419) 578-4367.

What is Philip Nelsen's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Philip Nelsen enrolled in Medicare?

Yes. Philip 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.

What insurance does Philip Nelsen accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Insurance Corporation of Ohio and Priority Health and 1 other insurer list Philip Nelsen 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 Philip Nelsen affiliated with any hospitals?

According to CMS data, Philip Nelsen is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Nelsen was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.