ANDREW FREDERICK NELSON (M.D.) – Diagnostic Radiology Physician, NPI 1073726584
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
532 DIAGNOSTIC RADIOLOGY in OR
Provider Addresses for ANDREW FREDERICK NELSON (M.D.)
1000 THIRD STREET
TILLAMOOK, OR 97141
Phone: (503) 842-4444
Type: Mailing
Loma Linda University Medical Center, 11234, Anderson Street, Loma Linda, San Bernardino County, California, 92354, United States
LOMA LINDA, CA 923542804
Phone: (909) 558-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $196.
Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.
Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Penumbra, Inc. ($158).
Total Amount
$196
General + Research + Ownership
Payments
2
Total payment records
General Amount
$196
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $158 |
| Bard Peripheral Vascular, Inc. | $38 |
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: 2012-07-09
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 |
|---|---|---|---|---|
| I20120709000291 | I | Diagnostic Radiology | OR | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 67 | 46 | $0 |
| 72170 | X-ray of pelvis, 1-2 views | 24 | 18 | $0 |
| 70450 | Ct scan head or brain without contrast | 15 | 15 | $0 |
| 71260 | Ct scan of chest with contrast | 14 | 14 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 14 | 13 | $0 |
Insurance plans in this area (ZIP 97141)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | CA | 71010 | X-ray of chest, 1 view, front | 38 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | ID | |
| Physician Assistant | MA | |
| - | AL | |
| - | OR | |
| Clinical Social Worker | OR | |
| - | OR | |
| Physician Assistant | OR | |
| - | OR | |
| - | OR |
Reviews
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