DR. JACOB H NELSON (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1104267780
Foot & Ankle Surgery Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
472 PODIATRY in AZ
Provider Addresses for DR. JACOB H NELSON (D.P.M.)
1520 S Dobson Rd
SUITE 307
Mesa, AZ 852024725
Phone: (480) 844-8218
Fax: (480) 800-6647
Type: Location
13555 W MCDOWELL RD
STE 301
GOODYEAR, AZ 853952629
Phone: (623) 848-0123
Type: Mailing
1520 S DOBSON RD
SUITE 307
MESA, AZ 852024725
Phone: (480) 844-8218
Fax: (480) 800-6647
Type: Location
5432 E SOUTHERN AVE STE 101B
MESA, AZ 852062772
Phone: (480) 210-3336
Fax: (480) 210-3339
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $190.
Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.
Last reported payment date: 2024-07-08 • Largest payer in this snapshot: Nevro Corp. ($146).
Total Amount
$190
General + Research + Ownership
Payments
5
Total payment records
General Amount
$190
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $146 |
| Orpyx Medical Technologies US Inc. | $17 |
| Smith+Nephew, Inc. | $13 |
| Orthofix Medical, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161216000316 | I | Podiatry | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 41 | $0 |
| 73630 | X-ray of foot, minimum of 3 views | 60 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 50 | 30 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 44 | 24 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 85202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | AZ | |
| P O D I A T R Y | AZ |
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