PETER RICHARD NELSON (MD, MS) – Vascular Surgery Physician, NPI 1043209307

PETER RICHARD NELSON (MD, MS) is a healthcare provider. based in Tulsa, Oklahoma. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials MD, MS. They hold a License No. 33362 (OK). The NPI Number for PETER RICHARD NELSON (MD, MS) is 1043209307

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
PETER RICHARD NELSON (MD, MS)
NPI
1043209307
Phone
(918) 619-4400
Address
1919 S WHEELING AVE STE 600
Enumeration Date
19 October 2005
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
9186347500
Graduation Year
1992 (34 years ago)
PAC ID
8224094206
Group Practice PAC ID
5395645329
Professional Enrollment ID
I20180111001271
Address ID
OK741045635TU1919XWHEE301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

54 VASCULAR SURGERY in OK

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Provider Addresses for PETER RICHARD NELSON (MD, MS)

  • 600, South Wheeling Avenue, Kendall Whitter-West, Tulsa, Tulsa County, Oklahoma, 74104, United States

    TULSA, OK 741045635

    Phone: (918) 619-4400

    Fax: (918) 634-7560

    Type: Location

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731268838

    Phone: (918) 634-7500

    Fax: (918) 634-7560

    Type: Mailing

  • 4444 E 41ST ST

    TULSA, OK 741352527

    Phone: (918) 619-4400

    Fax: (918) 619-4960

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $909.

Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Shape Memory Medical Inc. ($440).

Total Amount

$909

General + Research + Ownership

Payments

14

Total payment records

General Amount

$909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2025-04-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180111001271IVascular SurgeryOKTBD
I20250409000783IVascular SurgeryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2926$0
93922Ultrasound study of arm and leg arteries2424$0
93925Ultrasound of leg arteries or artery grafts2221$0
99214Established patient office or other outpatient visit, 30-39 minutes1512$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 74104)

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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: 5395645329View full group profile
NameSpecialtyState
-OK
P S Y C H I A T R YOK
-OK
O B S T E T R I C S/ G Y N E C O L O G YTX
Nephrology, Internal MedicineOK
Clinical PsychologistOK
-OK
Internal MedicineOK
-OK
-OK

Reviews

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Frequently asked questions

What federal number belongs to PETER RICHARD NELSON (MD, MS)?
The federal identifier for PETER RICHARD NELSON (MD, MS) is NPI 1043209307.
Is PETER RICHARD NELSON (MD, MS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does PETER RICHARD NELSON (MD, MS) work in?
You can think of PETER RICHARD NELSON (MD, MS) as practicing within Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Does PETER RICHARD NELSON (MD, MS) practice in Oklahoma?
You will see Tulsa, Oklahoma on file for PETER RICHARD NELSON (MD, MS) alongside any extra practice locations.
What if Tulsa, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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