DR. RICHARD O NELSON (MD) – Internal Medicine Physician, NPI 1841287620
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,893 INTERNAL MEDICINE in NJ
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Provider Addresses for DR. RICHARD O NELSON (MD)
Walgreens, 1, Diamond Hill Road, Berkeley Heights, Union County, New Jersey, 07922, United States
SUMMIT MEDICAL GROUP
BERKELEY HEIGHTS, NJ 079222104
Phone: (908) 273-4300
Fax: (908) 769-2555
Type: Mailing
34, Mountain Boulevard, Warrenville, Warren Township, Somerset County, New Jersey, 07059, United States
SUMMIT MEDICAL GROUP
WARREN, NJ 070592640
Phone: (908) 769-0100
Fax: (908) 769-2512
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2005-06-23
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 |
|---|---|---|---|---|
| I20050623000845 | I | Internal Medicine | NJ | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 722 | 393 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 587 | 345 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 569 | 373 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 411 | 346 | $0 |
| 81001 | Manual urinalysis test with examination using microscope, automated | 408 | 346 | $0 |
Insurance plans in this area (ZIP 07922)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | NJ | |
| Radiation Oncology | NY | |
| - | NJ | |
| - | NJ | |
| Physical Therapist In Private Practice | NJ | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| - | NJ |
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