DR. STEPHEN NELSON (M.D.) – Orthopaedic Surgery Physician, NPI 1194161604

DR. STEPHEN NELSON (M.D.) is a healthcare provider. based in Hamden, Connecticut. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials M.D.. They hold a License No. 63627 (CT). The NPI Number for DR. STEPHEN NELSON (M.D.) is 1194161604

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. STEPHEN NELSON (M.D.)
NPI
1194161604
Phone
(203) 407-3565
Address
2416 WHITNEY AVE STE 3
Enumeration Date
12 May 2013
Last Update Date
17 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
Secondary Phone
2034073500
Graduation Year
2013 (13 years ago)
PAC ID
4183936446
Group Practice PAC ID
7315850039
Professional Enrollment ID
I20190626001975
Address ID
CT065183209HA2408XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

466 ORTHOPEDIC SURGERY in CT

Provider Addresses for DR. STEPHEN NELSON (M.D.)

  • 2416 WHITNEY AVE STE 3

    HAMDEN, CT 065183249

    Phone: (203) 407-3565

    Fax: (203) 466-8521

    Type: Location

  • 2408 WHITNEY AVE

    HAMDEN, CT 065183209

    Phone: (203) 626-0160

    Fax: (203) 294-6734

    Type: Mailing

  • 235 Boston Post Rd

    Orange, CT 064773229

    Phone: (203) 795-4784

    Fax: (203) 799-1179

    Type: Location

  • 84 N Main St

    Branford, CT 064053061

    Phone: (203) 483-2509

    Fax: (203) 483-2513

    Type: Location

  • 701 N Colony Rd

    Wallingford, CT 064922407

    Phone: (203) 265-1800

    Fax: (203) 284-9010

    Type: Location

  • 2408 Whitney Ave

    Hamden, CT 065183209

    Phone: (203) 407-3565

    Fax: (203) 466-8521

    Type: Location

  • 258 BROAD ST

    MILFORD, CT 064603226

    Phone: (203) 882-3373

    Fax: (203) 882-3372

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $1,123.

Total Amount is formed as General ($1,123) + Research ($0) + Ownership ($0) = $1,123.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($651).

Total Amount

$1,123

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,123

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2019-06-26

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
I20190626001975IOrthopedic SurgeryCTTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg43686$0
73562X-ray of knee, 3 views321220$0
99213Established patient office or other outpatient visit, 20-29 minutes314251$0
73560X-ray of knee, 1-2 views191161$0
73501X-ray of hip, 1 view161120$0
View full utilization report →

Insurance plans in this area (ZIP 06518)

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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: 7315850039View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCT
-CT
Interventional Pain ManagementCT
-CT
-CT
Occupational Therapist In Private PracticeCT
Orthopedic SurgeryCT
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT

Reviews

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Frequently asked questions

What unique ID ties claims to DR. STEPHEN NELSON (M.D.)?
NPI 1194161604 is assigned to DR. STEPHEN NELSON (M.D.) under the national enumeration system.
Does this profile mean DR. STEPHEN NELSON (M.D.) is currently active?
Yes — DR. STEPHEN NELSON (M.D.) appears active in the national provider directory.
Can you summarize DR. STEPHEN NELSON (M.D.)'s specialty in plain language?
Clinically, the directory lists DR. STEPHEN NELSON (M.D.) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is DR. STEPHEN NELSON (M.D.)'s primary listing?
We display Hamden, Connecticut because that is what the record indicates for DR. STEPHEN NELSON (M.D.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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