DR. DUANE JAMES NELSON (M.D.) – Specialist, NPI 1841296498

DR. DUANE JAMES NELSON (M.D.) is a healthcare provider. based in Orem, Utah. specializing in Specialist. They hold the professional credentials M.D.. They hold a License No. 1827901205 (UT). The NPI Number for DR. DUANE JAMES NELSON (M.D.) is 1841296498

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. DUANE JAMES NELSON (M.D.)
NPI
1841296498
Phone
Not provided
Address
92 E 1960 N
Enumeration Date
27 June 2005
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
8013577373
Graduation Year
1988 (38 years ago)
PAC ID
3274630025
Group Practice PAC ID
7810167392
Professional Enrollment ID
I20070514000213

Contacts

Secure Messaging
DuaneNelson@direct-address.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for DR. DUANE JAMES NELSON (M.D.)

  • 92, East 1960 North, Orem, Utah County, Utah, 84057, United States

    OREM, UT 840577226

    Phone:

    Type: Mailing

  • 1055, North 300 West, North Park, Pleasant View, Provo, Utah County, Utah, 84604, United States

    STE 204

    PROVO, UT 846043374

    Phone: (801) 357-7373

    Fax: (801) 357-7217

    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: 2007-05-14

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
I20070514000213IOphthalmologyUTTBD

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
92014Established patient complete exam of visual system139137$0
92012Established patient problem focused exam of visual system3835$0
92134Imaging of retina1817$0
View full utilization report →

Insurance plans in this area (ZIP 84057)

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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: 7810167392View full group profile
NameSpecialtyState
Nurse PractitionerUT
O P T O M E T R YUT
O P H T H A L M O L O G YUT
O P H T H A L M O L O G YUT
O P T O M E T R YUT
-UT
O P T O M E T R YUT
O P T O M E T R YUT
-UT
O P T O M E T R YUT

Reviews

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Frequently asked questions

What number should I use to identify DR. DUANE JAMES NELSON (M.D.) for billing?
Administrative and clinical systems typically use NPI 1841296498 for DR. DUANE JAMES NELSON (M.D.).
Quick check: is DR. DUANE JAMES NELSON (M.D.) active?
Public NPPES data shows DR. DUANE JAMES NELSON (M.D.) with an active NPI status right now.
What services align with DR. DUANE JAMES NELSON (M.D.)'s listing?
DR. DUANE JAMES NELSON (M.D.)'s public classification highlights Other Service Providers. Clinical services aligned with this taxonomy classification.
What city is tied to DR. DUANE JAMES NELSON (M.D.)?
The directory associates DR. DUANE JAMES NELSON (M.D.) with Orem, Utah. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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