JAMES A NELSON (M.D.) – Family Medicine Physician, NPI 1518964873
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JAMES A NELSON (M.D.)
1110 Druid Cir
Lake Wales, FL 338534307
Phone: (863) 676-7914
Fax: (863) 676-3007
Type: Location
1110, Druid Circle, Lake Wales, Polk County, Florida, 33853, United States
LAKE WALES, FL 338534307
Phone: (863) 676-7914
Fax: (863) 676-3007
Type: Mailing
803 N JEFFERSON ST
ALBANY, GA 317012373
Phone: (229) 312-7800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $280.
Total Amount is formed as General ($280) + Research ($0) + Ownership ($0) = $280.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Kerecis Limited ($81).
Total Amount
$280
General + Research + Ownership
Payments
9
Total payment records
General Amount
$280
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $81 |
| Smith+Nephew, Inc. | $73 |
| KCI USA, Inc. | $52 |
| Paratek Pharmaceuticals, Inc. | $42 |
| Urgo Medical North America, LLC | $18 |
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: 2019-11-27
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 |
|---|---|---|---|---|
| I20191127000711 | I | Family Practice | GA | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 47 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 11 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 11 | 11 | $0 |
Insurance plans in this area (ZIP 33853)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | FL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 27 | 24 |
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