DR. ANDREW D NELSON (D.O.) – Orthopaedic Surgery Physician, NPI 1083900419

DR. ANDREW D NELSON (D.O.) is a healthcare provider. based in Corvallis, Oregon. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials D.O.. They hold a License No. PG155829 (OR). The NPI Number for DR. ANDREW D NELSON (D.O.) is 1083900419

Main info

Male
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANDREW D NELSON (D.O.)
NPI
1083900419
Phone
Not provided
Address
3600 NW SAMARITAN DR
Enumeration Date
23 June 2011
Last Update Date
23 June 2011

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
5037792271
Graduation Year
2011 (15 years ago)
PAC ID
8527311547
Group Practice PAC ID
8921901877
Professional Enrollment ID
I20181022001053
Address ID
OR973033794KE5685XNXXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

383 ORTHOPEDIC SURGERY in OR

Provider Addresses for DR. ANDREW D NELSON (D.O.)

  • 3600 NW SAMARITAN DR

    CORVALLIS, OR 973303737

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $1,649.

Total Amount is formed as General ($1,649) + Research ($0) + Ownership ($0) = $1,649.

Last reported payment date: 2023-07-19 • Largest payer in this snapshot: Arthrex, Inc. ($1,103).

Total Amount

$1,649

General + Research + Ownership

Payments

16

Total payment records

General Amount

$1,649

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-19

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: 2018-10-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181022001053IOrthopedic SurgeryORTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg21617$0
99214Established patient office or other outpatient visit, 30-39 minutes4534$0
99213Established patient office or other outpatient visit, 20-29 minutes3831$0
20610Aspiration and/or injection of fluid from large joint2922$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 97330)

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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: 8921901877View full group profile
NameSpecialtyState
Pulmonary Disease, Internal MedicineOR
-OR
Family PracticeOR
-OR
Clinical Social WorkerOR
O B S T E T R I C S/ G Y N E C O L O G YOR
Family PracticeWA
O B S T E T R I C S/ G Y N E C O L O G YOR
Emergency MedicineOR
Clinical PsychologistOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. ANDREW D NELSON (D.O.)'s NPI?
Yes. DR. ANDREW D NELSON (D.O.) is listed with NPI 1083900419 in the public NPI dataset.
Does the file indicate DR. ANDREW D NELSON (D.O.) is practicing under active NPI?
Directory data currently reports DR. ANDREW D NELSON (D.O.) as active.
What taxonomy line describes DR. ANDREW D NELSON (D.O.)?
For research purposes, treat DR. ANDREW D NELSON (D.O.) as Orthopaedic Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANDREW D NELSON (D.O.)?
DR. ANDREW D NELSON (D.O.)'s geographic hint is Corvallis, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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