DR. BRIAN S NELSON (MD) – Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician, NPI 1619974318

DR. BRIAN S NELSON (MD) is a healthcare provider. based in Longmont, Colorado. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 39414 (CO). The NPI Number for DR. BRIAN S NELSON (MD) is 1619974318

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRIAN S NELSON (MD)
NPI
1619974318
Phone
(303) 776-1234
Address
1925 W MOUNTAIN VIEW AVE
Enumeration Date
7 July 2005
Last Update Date
27 September 2019

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7207335260
Graduation Year
1997 (29 years ago)
PAC ID
7810021292
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20100820000545
Address ID
CO801047419CA4404XLNXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

824 OBSTETRICS/GYNECOLOGY in CO

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Provider Addresses for DR. BRIAN S NELSON (MD)

  • Mountain View Avenue, Longmont, Boulder County, Colorado, 80501-2038, United States

    LONGMONT, CO 805013128

    Phone: (303) 776-1234

    Fax: (720) 494-3107

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $6,364.

Total Amount is formed as General ($6,364) + Research ($0) + Ownership ($0) = $6,364.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($6,314).

Total Amount

$6,364

General + Research + Ownership

Payments

7

Total payment records

General Amount

$6,364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100820000545IObstetrics/GynecologyCOTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
57250Repair of herniated rectum into vaginal wall2121$0
57425Surgical repair of vaginal defect using an endoscope2121$0
57423Repair of vaginal defect using an endoscope1717$0
57288Creation of sling around urethra in female to control leakage1515$0
57267Insertion of artificial material for pelvic floor defect1414$0
View full utilization report →

Insurance plans in this area (ZIP 80501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638208549View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. BRIAN S NELSON (MD)?
DR. BRIAN S NELSON (MD) — NPI 1619974318 — is the standard way to identify this listing.
Is DR. BRIAN S NELSON (MD) still practicing?
DR. BRIAN S NELSON (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. BRIAN S NELSON (MD)?
For research purposes, treat DR. BRIAN S NELSON (MD) as Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. BRIAN S NELSON (MD) list a practice location?
Patients near Longmont, Colorado may find DR. BRIAN S NELSON (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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