NELS WALLACE THORDERSON (MD) – Orthopaedic Surgery Physician, NPI 1740250331
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for NELS WALLACE THORDERSON (MD)
4381, South Eason Boulevard, Priceville, Tupelo, Lee County, Mississippi, 38804, United States
TUPELO, MS 388016583
Phone: (662) 840-5747
Fax: (662) 840-5856
Type: Mailing
499 S GLOSTER ST STE G1
TUPELO, MS 388015539
Phone: (662) 377-2663
Type: Location
499 S GLOSTER ST # G1
TUPELO, MS 388015539
Phone: (662) 377-2663
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $205.
Total Amount is formed as General ($205) + Research ($0) + Ownership ($0) = $205.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($87).
Total Amount
$205
General + Research + Ownership
Payments
6
Total payment records
General Amount
$205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $87 |
| Kerecis Limited | $86 |
| Cumberland Pharmaceuticals, Inc. | $31 |
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: 2004-09-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040901001196 | I | Orthopedic Surgery | MS | 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 |
|---|---|---|---|---|
| 73630 | X-ray of foot, minimum of 3 views | 447 | 243 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 334 | 233 | $0 |
| 73610 | X-ray of ankle, minimum of 3 views | 106 | 62 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 70 | 70 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 56 | $0 |
Insurance plans in this area (ZIP 38801)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MS | |
| Physician Assistant | MS | |
| Orthopedic Surgery, Hand Surgery | MS | |
| Sports Medicine, Orthopedic Surgery | MS | |
| Physician Assistant | MS | |
| Sports Medicine, Orthopedic Surgery | MS | |
| Sports Medicine, Orthopedic Surgery | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | MS |
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