DR. MARK LEWIS NELSON (MD) – Ophthalmology Physician, NPI 1689647109

DR. MARK LEWIS NELSON (MD) is a healthcare provider. based in Tacoma, Washington. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. 00043072 (WA). The NPI Number for DR. MARK LEWIS NELSON (MD) is 1689647109

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK LEWIS NELSON (MD)
NPI
1689647109
Phone
(253) 572-1444
Address
2245 S 19TH ST
Enumeration Date
8 February 2006
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
UNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Secondary Phone
2535721444
Graduation Year
1993 (33 years ago)
PAC ID
6507923026
Group Practice PAC ID
5193911170
Professional Enrollment ID
I20090326000513
Address ID
WA984052945TA2245XSTXX401
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

466 OPHTHALMOLOGY in WA

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Provider Addresses for DR. MARK LEWIS NELSON (MD)

  • 2245, South 19th Street, Central Tacoma, Tacoma, Pierce County, Washington, 98405, United States

    200

    TACOMA, WA 984052945

    Phone: (253) 572-1444

    Fax: (253) 830-2528

    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 12 Open Payments records for all available years, with a total value of $2,785.

Total Amount is formed as General ($2,785) + Research ($0) + Ownership ($0) = $2,785.

Last reported payment date: 2024-06-24 • Largest payer in this snapshot: Carl Zeiss Meditec USA, Inc. ($2,120).

Total Amount

$2,785

General + Research + Ownership

Payments

12

Total payment records

General Amount

$2,785

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-24

Latest reported date

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: 2009-03-26

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
I20090326000513IOphthalmologyWATBD

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
J2777Injection, faricimab-svoa, 0.1 mg74,220440$0
67028Injection of drug into eye2,062944$0
92134Imaging of retina2,0181,075$0
J0178Injection, aflibercept, 1 mg1,818443$0
92014Established patient complete exam of visual system906717$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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Provider's Procedures

DR. MARK LEWIS NELSON (MD) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYWA92012Eye and medical examination for diagnosis and treatment, established patient7972
OPHTHALMOLOGYWA92134Diagnostic imaging of retina2045807

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: 5193911170View full group profile
NameSpecialtyState
O P H T H A L M O L O G YMO
-WA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YWA
O P H T H A L M O L O G YOR
O P T O M E T R YWA

Reviews

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Frequently asked questions

What federal number belongs to DR. MARK LEWIS NELSON (MD)?
The federal identifier for DR. MARK LEWIS NELSON (MD) is NPI 1689647109.
Is DR. MARK LEWIS NELSON (MD)'s NPI currently valid?
The extract we use shows DR. MARK LEWIS NELSON (MD) as active.
What kind of provider is DR. MARK LEWIS NELSON (MD)?
The page reflects Ophthalmology Physician for DR. MARK LEWIS NELSON (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. MARK LEWIS NELSON (MD)?
We surface Tacoma, Washington for DR. MARK LEWIS NELSON (MD) based on available NPPES addresses.
Is DR. MARK LEWIS NELSON (MD) a real provider?
This page reflects official NPPES data for NPI 1689647109. Always confirm identity and privileges with the practice and licensing boards.

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