DR. MARK L NELSON (MD) – Dermatology Physician, NPI 1235199027

DR. MARK L NELSON (MD) is a healthcare provider. based in Bloomfield hills, Michigan. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 4301045147 (MI). The NPI Number for DR. MARK L NELSON (MD) is 1235199027

Main info

Male
Sole Proprietor
46 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK L NELSON (MD)
NPI
1235199027
Phone
(248) 540-9100
Address
60 W BIG BEAVER RD
Enumeration Date
24 March 2006
Last Update Date
13 January 2014

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2488521900
Graduation Year
1980 (46 years ago)
PAC ID
5496843054
Group Practice PAC ID
8921105255
Professional Enrollment ID
I20071114000557
Address ID
MI483075184RO110XXWXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

532 DERMATOLOGY in MI

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Provider Addresses for DR. MARK L NELSON (MD)

  • 60, West Big Beaver Road, Bloomfield Hills, Oakland County, Michigan, 48304, United States

    STE 120

    BLOOMFIELD HILLS, MI 48304

    Phone: (248) 540-9100

    Fax: (248) 540-1223

    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 4 Open Payments records for all available years, with a total value of $108.

Total Amount is formed as General ($108) + Research ($0) + Ownership ($0) = $108.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($33).

Total Amount

$108

General + Research + Ownership

Payments

4

Total payment records

General Amount

$108

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

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: 2007-11-14

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
I20071114000557IDermatologyMITBD

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
17003Destruction of precancer skin growth, 2-14 growths75173$0
99213Established patient office or other outpatient visit, 20-29 minutes337125$0
17000Destruction of precancer skin growth, 1 growth310102$0
17110Destruction of skin growth, 1-14 growths308116$0
99212Established patient office or other outpatient visit, 10-19 minutes14982$0
View full utilization report →

Insurance plans in this area (ZIP 48304)

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Provider's Procedures

DR. MARK L NELSON (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYMI17003Destruction of 2-14 skin growths1004120

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: 8921105255View full group profile
NameSpecialtyState
D E R M A T O L O G YMI
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

How do payers reference DR. MARK L NELSON (MD)?
For DR. MARK L NELSON (MD), use NPI 1235199027 as the unique 10-digit identifier.
Is DR. MARK L NELSON (MD) still an active registrant?
DR. MARK L NELSON (MD) carries an active NPI according to the public dataset.
What area of care is associated with DR. MARK L NELSON (MD)?
DR. MARK L NELSON (MD)'s record emphasizes Dermatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. MARK L NELSON (MD)?
Directory geography for DR. MARK L NELSON (MD) centers on Bloomfield Hills, Michigan.
Does DR. MARK L NELSON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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