EVAN R NELSON (MD) – Physical Medicine & Rehabilitation Physician, NPI 1154323467
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
256 PHYSICAL MEDICINE AND REHABILITATION in WI
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Provider Addresses for EVAN R NELSON (MD)
PO BOX 1510
EAU CLAIRE, WI 547021510
Phone: (608) 785-0940
Type: Mailing
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (608) 785-0940
Type: Mailing
West Avenue South, La Crosse, La Crosse County, Wisconsin, 54603, United States
LA CROSSE, WI 54601
Phone: (608) 785-0940
Type: Location
700 West Avenue S.
La Crosse, WI 546014783
Phone: (608) 392-9875
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: 2012-07-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080326000929 | I | Physical Medicine And Rehabilitation | WI | TBD |
| I20120725000753 | I | Physical Medicine And Rehabilitation | IA | 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 |
|---|---|---|---|---|
| 62323 | Injection of substance into lower spine canal using imaging guidance | 156 | 134 | $0 |
| 76942 | Ultrasonic guidance for needle placement | 116 | 93 | $0 |
| 20552 | Injection of trigger points, 1-2 muscles | 105 | 86 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 72 | 60 | $0 |
| 64493 | Injection of lower or sacral spine facet joint using imaging guidance, single level | 56 | 39 | $0 |
Insurance plans in this area (ZIP 54702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | WI | 62311 | Injections of substances into lower or sacral spine | 170 | 148 |
| PHYSICAL MEDICINE AND REHABILITATIO | WI | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 68 | 59 |
| PHYSICAL MEDICINE AND REHABILITATIO | WI | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | MN | |
| - | MN | |
| U R O L O G Y | WI | |
| Physician Assistant | MN |
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