LAURENCE M JR. NELSON (MD) – Ophthalmology Physician, NPI 1730165697
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
214 OPHTHALMOLOGY in UT
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Provider Addresses for LAURENCE M JR. NELSON (MD)
1700 West, Evergreen Farms, Layton, Davis County, Utah, 84041, United States
LAYTON, UT 840418803
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Location
PO BOX 337
LAYTON, UT 840410337
Phone: (801) 773-4840
Fax: (801) 525-8151
Type: Mailing
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 $266.
Total Amount is formed as General ($266) + Research ($0) + Ownership ($0) = $266.
Last reported payment date: 2024-11-23 • Largest payer in this snapshot: ABBVIE INC. ($69).
Total Amount
$266
General + Research + Ownership
Payments
14
Total payment records
General Amount
$266
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2005-11-15
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 |
|---|---|---|---|---|
| I20051115001160 | I | Ophthalmology | UT | 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 |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 1,138 | 576 | $0 |
| 92134 | Imaging of retina | 791 | 310 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 256 | 37 | $0 |
| 92012 | Established patient problem focused exam of visual system | 242 | 122 | $0 |
| 92133 | Imaging of optic nerve | 242 | 151 | $0 |
Insurance plans in this area (ZIP 84041)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | UT | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 128 | 78 |
| OPHTHALMOLOGY | UT | 92083 | Measurement of field of vision during daylight conditions | 68 | 64 |
| OPHTHALMOLOGY | UT | 92134 | Diagnostic imaging of retina | 357 | 229 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| Family Practice | UT | |
| Physician Assistant | UT | |
| Internal Medicine, Endocrinology | UT | |
| Family Practice | UT | |
| - | UT | |
| O T O L A R Y N G O L O G Y | UT | |
| Physician Assistant | AZ | |
| Qualified Audiologist | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT |
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