DR. JASON CHRISTOPHER NELLIS (M.D.) – Otolaryngology Physician, NPI 1457612350
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
273 OTOLARYNGOLOGY in MN
Provider Addresses for DR. JASON CHRISTOPHER NELLIS (M.D.)
8170 33RD AVE
MS 21110Q
BLOOMINGTON, MN 554254516
Phone: (952) 967-7977
Fax: (651) 254-8558
Type: Mailing
401 PHALEN BLVD
SAINT PAUL, MN 551305302
Phone: (952) 967-7977
Fax: (651) 254-8558
Type: Location
8600 Old Georgetown Rd
Bethesda, MD 208141422
Phone: (301) 896-3340
Type: Location
601 N CAROLINE ST FL 6
BALTIMORE, MD 212870006
Phone: (410) 955-1686
Type: Location
6201 GREENLEIGH AVE
BALTIMORE, MD 212202004
Phone: (410) 933-4380
Fax: (651) 254-8558
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $541.
Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($315).
Total Amount
$541
General + Research + Ownership
Payments
13
Total payment records
General Amount
$541
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $315 |
| Baxter Healthcare | $86 |
| ABBVIE INC. | $35 |
| Lilly USA, LLC | $25 |
| Integra LifeSciences Corporation | $24 |
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: 2021-06-03
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 |
|---|---|---|---|---|
| I20210603000601 | I | Otolaryngology | MD | TBD |
| I20210603000711 | I | Otolaryngology | DC | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 26 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 22 | $0 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 18 | 18 | $0 |
| 31231 | Diagnostic exam of nasal passages using an endoscope | 18 | 17 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 16 | $0 |
Insurance plans in this area (ZIP 55425)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | MD | |
| Diagnostic Radiology | MD | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | MD | |
| - | MD | |
| O P T O M E T R Y | MD | |
| Internal Medicine, Medical Oncology | MD | |
| U R O L O G Y | MD | |
| - | MD | |
| O P H T H A L M O L O G Y | MD |
Reviews
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