DR. DOROTHY KAREN NELDER (M.D.) – Family Medicine Physician, NPI 1285695338
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
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Provider Addresses for DR. DOROTHY KAREN NELDER (M.D.)
Peachtree Street, Jesup, Wayne County, Georgia, 31545, United States
JESUP, GA 315450244
Phone: (912) 427-7790
Fax: (912) 427-7707
Type: Mailing
1st Street, Jesup, Buchanan County, Iowa, 50648, United States
JESUP, GA 31545
Phone: (912) 427-7790
Fax: (912) 427-7707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $240.
Total Amount is formed as General ($240) + Research ($0) + Ownership ($0) = $240.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($53).
Total Amount
$240
General + Research + Ownership
Payments
12
Total payment records
General Amount
$240
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20181003002097 | I | Family Practice | GA | TBD |
| I20241218001789 | I | Family Practice | MI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 293 | 137 | $0 |
| 83036 | Hemoglobin a1c level | 129 | 64 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 126 | 88 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 69 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 22 | 22 | $0 |
Insurance plans in this area (ZIP 31545)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NM | |
| Family Practice | MI | |
| Family Practice | MI | |
| Family Practice | MI | |
| - | MI | |
| - | IL | |
| Family Practice | WY | |
| Family Practice | MI | |
| - | MI | |
| - | MI |
Reviews
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